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ARCHIVED REPORTS XR0000216
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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B
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B
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1603
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3500 - Local Oversight Program
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PR0543430
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ARCHIVED REPORTS XR0000216
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Entry Properties
Last modified
2/5/2019 10:51:25 AM
Creation date
2/5/2019 10:44:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000216
RECORD_ID
PR0543430
PE
3528
FACILITY_ID
FA0009377
FACILITY_NAME
CAL TRANS MAINT SHOP 10
STREET_NUMBER
1603
Direction
S
STREET_NAME
B
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16918002
CURRENT_STATUS
02
SITE_LOCATION
1603 S B ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Pace Aa*tical 412417 <br /> CHAIN-OF-CUSTODY RECORD <br /> Analytical Request <br /> 6Turn around Time <br /> Client Re ort To !2A RD Ss 24 Hours Pace Client No <br /> r ❑ <br /> Address Bill To � H A•{wA kD ❑ 48 Hours Pace Project Mana er <br /> ❑ 3-5 Days <br /> P O #/Billing Reference �J75"� a 1 1 Week 2 Weeks Pace Project No l a ! <br /> c�� Normal 14 Days <br /> Phone Pro ect Name 1 No SO — 10 'Requested Due Date <br /> Sampled By(PRINT) ¢ PRESERVATIVES ANALYSES <br /> REQUEST (� <br /> Sampler Signature Date Sampled Z <br /> LL LU <br /> 3 h <br /> ITEMSAMPLE DESCRIPTION TIME MATRIX PACE • °z s ° z REMARKS <br /> 73 <br /> 2 KW 1:SF to <br /> W..l (D I ?� <br /> 4 w-rt 16.55 <br /> 5 W-ii 14. 36 3 1 V1 <br /> 6 Mw-11 )6;35 1 x <br /> 7 <br /> 8 <br /> . . <br /> SHIPMENT METHOD AIR BILL NO. ISHIPPING DATE <br /> � <br /> 7 <br /> Additconal Comments Z,ao �fl � <br /> 100ffRGUST0D1t%AlSWCf13 1100900A//� SAMPLE CONDITION <br /> G00 TEMAT�RE Temp °C Received on Ice Y 1 N Sealed Cooler YIN Samples Intact Y/N <br /> ' RESEE F�NSICTS �� <br />
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