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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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
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EHD - Public
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McCampbell Analytical, Inc. CHAIN-OF-CUSTODY RECORD Page I of I <br /> 1534 Willow Pass Rd <br /> Pittsburg,CA 94565-1701 WorkOrder: 1501074 ClientCode: AEL <br /> (925)252-9262 <br /> WaterTrax ❑WriteOn EDF ❑Excel ❑EQuIS ❑Email ❑HardCopy ❑ThirdParty ❑J-flag <br /> Report to: Bill to: Requested TAT: 5 days <br /> Mallory Zaunius Email: mzaunius@aeiconsultants.com Sara Guerin <br /> AEI Consultants cc/3rd Party: 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 Storage 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 2 3 4 1 5 6 7 8 9 1 10 11 I 12 <br /> 1501074-001 1 HP-2 Water 1 015 15:1 5L❑ C A B B <br /> • <br /> Test Legend: <br /> 1 300_1 W 12 1 82608_W F3 I AMMONIA W 14 1 TKN_W 5 <br /> 6 17 g 9 10 <br /> Jill 1121 <br /> Prepared by: Agustina Venegas <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 15 of 18 <br />
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