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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SONORA
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2900 - Site Mitigation Program
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PR0515588
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FIELD DOCUMENTS
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Entry Properties
Last modified
12/13/2018 10:47:18 AM
Creation date
11/6/2018 2:01:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0515588
PE
2950
FACILITY_ID
FA0012237
FACILITY_NAME
ELKS LODGE #1016
STREET_NUMBER
37
Direction
W
STREET_NAME
SONORA
STREET_TYPE
ST
City
STOCKTON
Zip
95212
CURRENT_STATUS
01
SITE_LOCATION
37 W SONORA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS\S\SONORA\37\PR0515588\FIELD DOCUMENTS.PDF
QuestysFileName
FIELD DOCUMENTS
QuestysRecordDate
6/21/2018 4:37:58 PM
QuestysRecordID
3921539
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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' o <br /> SunStar Laboratories, Inc. Chain of Custody Record n <br /> I <br /> 3002 Dow Ave, Ste, 408 <br /> Tustin, CA 92780 14 <br /> Phone (714) 5//05-4010 Fax (714) 505-4028 <br /> Client: I'+r 17v �i cit 8 a +� Tai ��'FS Date, 12 t 3 cit Page: I Of�_ r <br /> Address: 2s2-7 FrestoG ste"6C 'f" Grr:Sao CAg3?1b Location: 311 5Imke-- S4-&�1-k-n.'I e ,4 N <br /> Phone: 55R o �_ Fax: 71 g :1 11( Collector: 14 1M,r +-1 'I Client Project#: 163-1 A o1 . O 2 D <br /> Project Manager" Batch#: <br /> W <br /> N <br /> 0: <br /> a v a0 o O o r m D <br /> p N O A b Ian h N O p V O O <br /> m apo m m m m m n m m tin; <br /> Dale Sample Container a� d a Qn a a a d a a '48t1 pp m F <br /> Sample ID Sampled Time Type Type w m w w w w w w w Comments <br /> V 2 13 11 L r x e�/ 1 1 <br /> 1•'L 13 of ct y, - 1 7- <br /> Sir r r .t D-5 11 IaEr Z <br /> S V4 n uVZ 311. it I Ir. i K 2- <br /> IS <br /> I2 44 !l X <br /> XIX ct�' 2 <br /> SI LL3�a n Y x <br /> F I`I 05- - k 2 • <br /> 1 Total#of containers Notes <br /> Chain of Custody seals YINMA <br /> Relinquished by: (signature) Date JTime Received by ;signature) Date f Time Seals intact?YMINA <br /> Received good conditionlcold V <br /> Telinquished by: (sgnawre) Date!Time Received by (signature'I Date fTime S'lranct:tlp 0 <br /> Turn around time: N <br /> sam pie CJleposel irntrucl,om. Disposal @$2.OG each _ Retum to client Pickup <br />
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