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ARCHIVED REPORTS XR0000980
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CALIFORNIA
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300
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3500 - Local Oversight Program
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PR0544147
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ARCHIVED REPORTS XR0000980
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Entry Properties
Last modified
2/14/2019 2:02:44 PM
Creation date
2/14/2019 1:23:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000980
RECORD_ID
PR0544147
PE
3526
FACILITY_ID
FA0004522
FACILITY_NAME
SKIPS SERVICE STATION
STREET_NUMBER
300
Direction
S
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
14909501
CURRENT_STATUS
02
SITE_LOCATION
300 S CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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Tags
EHD - Public
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C / 7_. <br /> -- ANALYTICAL REQUEST/SAMPLE CHAIN OF CUSTODY-- LA$.TRACKING #: ----�N'-f' -= <br /> RECORD _ OF 4 DATE RECI EVED: -------='=" --:.-=- - - <br /> �-— <br /> LAB.INVOICE TO: ---- <br /> -� -------cw --------------------- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES 1-^� - �_} <br /> 10624 OLIVE AVENUE,OAKDALE,CA-95361 <br /> OFFICE-(209)8475157 pHjpR1 <br /> FAX -(209)847-7744 <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING .-. OCE#-----_-----..�_.._-----.- .O. ------ ---.. <br /> OB — <br /> ElE �, II LAR ANALYSIS REQUESTED SITE SAMPLING MAP <br /> lll <br /> CONSULTANT:: � � -•ME: P PROJECT: <br /> t� m � a <br /> ADDRESS: s. � 1 , CrI'Y: �` ST.: Di <br /> a d F <br /> m <br /> SAMPLER SIGNATURE: T C <br /> STOPPED VIA: WAYBILL <br /> ANALYSIS BY:5- TURNAROUNDTI1 ; C`ra DAY 1'6 w <br /> SAMPIELD.I DATE TIME CONTAINERS TYPE MATRIX j;�i� €€II'ii. €li!il. ,EI,. .€'E'' '€ u� II€ III „`l REMARKS/IAB.I.D. <br /> pp r� r <br /> 9 a7 r <br /> Z.) 3 - <br /> 4.) t1'wa t... � <br /> vr <br /> ga <br /> 9.) <br /> 1(1.) <br /> 1].) <br /> 12.) <br /> I <br /> 15.) <br /> DA iB!7V <br /> ti ��By., ,.• 1 ";� � •�.��� L ! G TY CONDITION <br /> ! AECOVED COLD&INTACT!YES NO f <br /> < RB(79VID BY: T/r.._ i, . AIR BUBBLES IN V.OA.S I YES NO f LIN S N- <br /> RFI.R) 1516•I1 BY: ; � r /" '��. ),Z, %`� CUSTODY SEALS INTACE' I YES f NO f ) NIA f 7 <br /> �'-.'�7-t'�I f '•�-��"�f.�I.:--`-.�l�l . ��l y`� (MNAIURE) - ' 1- _� DATE lTWE <br /> RBCEIVFDBY: pRESERVAT[VESUSED ! YES No ( <br /> RELINQUISM BY: .� <br /> J (Sl6NA1URE1 ! IIXPEQEPRQ <br /> NOTE: PLEASE ARCHIVE THE SAMPLES SI�BMTITEn FOR THE PII[.L HOLDING TIME ALLOWED,LINLESS OTHER ARRANGEMENTS ARE MADE. <br /> * (M.T.B.E.,T.A.M.E.,E.T.B.E..D.I.P.E..T.S.A.) <br /> B.B.=BAILER BLANKS COLLECTED IN Till-FIELD. F.$.=FIELD BLANKS COLI>(i Q)IN THE FIELD. DEI:TFC[I C.O.C.FORM 911PINK.FIELD COPY WHITE 1F YELLOW•TO LAB.WITH SAMPLES1'ELLON'•RETURN T(1 CLIENT WITH RESECTS <br />
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