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ARCHIVED REPORTS XR0000027
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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A
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AIRPORT
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2651
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3500 - Local Oversight Program
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PR0543371
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ARCHIVED REPORTS XR0000027
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Entry Properties
Last modified
10/24/2018 12:17:40 AM
Creation date
10/23/2018 1:06:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS XR0000027
FileName_PostFix
XR0000027
RECORD_ID
PR0543371
PE
3528
FACILITY_ID
FA0006174
FACILITY_NAME
Best Express Foods Inc.
STREET_NUMBER
2651
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16912003
CURRENT_STATUS
02
SITE_LOCATION
2651 S AIRPORT WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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.#Nn'kR�� 281210� s6T <br /> PO Box 230 (618)281- Fax COf, Serial No �9 <br /> Columbia, IL 62236-0230 (618) 281-8933 Bulletin Board ® 7584 <br /> n <br /> Pro ect Name G� �4 � 4 ti$ Project M ryl ,rd Analyses by Method Name and mbar <br /> Pro eat Num g <br /> bei Phase•Task v .l.Tarpperature�upyonc, <br /> Sam ler s J'7.�� /�rjr��r��d Matrix <br /> Name * £ <br /> Laboratory 5 — m m L E ! 4 <br /> Location �—K t a c c Se.o in 3 a 3 a Q w <br /> Sample Number and(depth) Date Time 012 <br /> Comments Field PID tab!D#'s <br /> Cp-r— .41 — 30 Vz'[ 1035 ! ./� ✓ Vol, -,, �: <br /> ✓ .� ' " <br /> 7v r y L // 36 i ✓ ,1 7Ap�k`��n� <br /> P7- ,4 'go tri 11-0 S � ✓ ✓ �! ✓ �4' ,� � �,� '���� <br /> C L! t3 Zo ,/ ✓ TAA ' `° <br /> l <br /> =3w Yes r <br /> � 7"A <br /> ✓' ✓ ✓ � y � <br /> i' <br /> T� - Af <br /> \b i ASM <br /> Az <br /> <J <br /> ✓ <br /> CP7—e— — ZS ✓ ✓ - <br /> C P`rr-G -3 S �i�2 o g 5 1 ✓ ✓ a `�_ "'° .,�,;d <br /> C. p '_ c ^ 6O i 220 ✓ V ✓ ✓ 6 a <br /> Samples Iced Z7eS ❑ No Lab Directives- <br /> Preservatives (ONLY for Water Samples) Requested TAT ❑ 1-3 Days ❑ 5 Days V10 Days ❑ Other <br /> ❑ Volatile Organics Hydrochloric acid (HCI) Fax and/or Mad Results to a.,k r"1.i.i ,.- -. <br /> ❑ TPH(8015) Hydrochloric acid (HCI) Send Invoice to P11-11, &xV► M4'A fs( rv,r <br /> ❑ TPH(418 1) Hydrochloric acid (HCI) QC Deliverable Requested ❑ Results t QC ❑ Level 3 ❑ Other <br /> ❑ Metals Nitric acid (HNO3) Special Guidelines <br /> ❑ Cyanide Sodium hydroxide (NaOH) Reporting Limits <br /> ❑ Other(Specify) *Special <br /> Shipping: Relinquished by. Received by <br /> Carrier/Alrbill No Signature Date Time Si nature Date Time <br /> All G !O 30 <br /> �cs�a <br />'r l <br /> Dlstnbubon WHITE to Lab CANARY to PM PINK to QA/QC GREEN to Sampler haded Areas to be Completed by Lab <br /> PE 179(W96) <br /> 1 o 3 <br />
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