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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1919
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2900 - Site Mitigation Program
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PR0539716
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Last modified
2/11/2019 4:22:59 PM
Creation date
2/11/2019 3:32:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0539716
PE
2950
FACILITY_ID
FA0022723
FACILITY_NAME
WALDO ROSE STORAGE
STREET_NUMBER
1919
Direction
N
STREET_NAME
BROADWAY
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14315001
CURRENT_STATUS
01
SITE_LOCATION
1919 N BROADWAY AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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McCampbell Analytical, Inc. CHAIN-OF-CUSTODY RECORD Page I of 1 <br /> 1534 Willow Pass Rd <br /> Pittsburg,CA 94565-1701 WorkOrder: 1501075 ClientCode: AFL <br /> (925)252-9262 <br /> ❑WaterTrax ❑WriteOn E]EDF El Excel 0 EQuIS 0 Email [ Hardcopy D ThirdParty [ J flag <br /> Report to: Billto: Requested TAT: 5 days <br /> Mallory Zaunius Email: mzaunius@aeiconsultants.com Sara Guerin <br /> AEI Consultants cc/3rd Parry: AEI Consultants <br /> 2500 Camino Diablo, Ste.#200 PO: 2500 Camino Diablo, Ste.#200 Date Received: 01/06/2015 <br /> Walnut Creek, CA 94597 ProjectNo: #337833;Waldo Rose Walnut Creek, CA 94597 Date Printed. 01/06/2015 <br /> (925)283-6000 FAX: (925)944-2895 AccountsPayable@AEIConsultants.com <br /> Requested Tests(See legend below) • <br /> Lab ID Client ID Matrix Collection Date Hold 1 1 2 3 4 5 6 7 8 9 10 11 12 <br /> 1501075-001 SG-1 SoilGas 1/6/201512:30 ❑ A A A A <br /> 1501075-002 F SG-2 SoilGas 1/6/201513:15 ❑ A A A A <br /> 1501075-003 SG-3 SoilGas 1/6/201514:15 ❑ A A A A <br /> 1501075-004 Unused Summa 1 SoilGas <Not Provided> ❑ A <br /> 1501075-005 Unused Summa 2 SoilGas <Not Provided> ❑ A <br /> • <br /> Test Legend: <br /> F1 I PRUNUSEDSUMMA 2 15_ScanSIM SOIL(UG/M 3 T015-8260_SOIL(UG/M3) 4 T015-LC SOIL(UG/M3) 5 015-LC8260_S0IL(UG/M3 <br /> 6 7 g g 1101 <br /> 1111 1121 <br /> The following SamplDs:001A,002A,003A contain testgroup. Prepared by: Jena Alfaro <br /> Comments: <br /> NOTE: Soil samples are discarded 60 days after results are reported unless other arrangements are made(Water samples are 30 days). <br /> Hazardous samples will be returned to client or disposed of at client expense. <br /> Page 16 of 19 <br />
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