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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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PR0539430
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Last modified
2/15/2019 12:06:18 PM
Creation date
2/15/2019 11:41:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0539430
PE
2953
FACILITY_ID
FA0022537
FACILITY_NAME
WHITE ARROW LLC
STREET_NUMBER
2402
Direction
S
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16707029
CURRENT_STATUS
01
SITE_LOCATION
2402 S CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SunS.tar Laboratories, Inc. Chain of Custody Record <br /> 25712 Commercentre Dr <br /> Lake Forest, CA 92630 <br /> 949-297-502`0 <br /> Client:�G�d kv►�✓ [V1Ct-we"lo!� 2d--Z/mal Inr. . Date: Ar/2y° t 1 L'A t -Zi/1Da�,LJn Pa e: / Of Z <br /> Address: Project Name:SiQ07- Cdtilt6✓"7A eft Qp t S�Gk�fN,�� Rs �6 <br /> Phone: Fax: Collector. I<�yvl Client Project#: - <br /> Project Manager. SAn't Batch#: `rt` EDF M <br /> O_ <br /> C N O <br /> � r <br /> d <br /> O y o <br /> N _NN O N c <br /> X C 1. t0 N C <br /> ® m <br /> W $ Q i O <br /> + m <br /> Sample Container <br /> Sample ID Date Sample Time Type Type m CO m m ro m m V `9 Comments/Preservative F <br /> 2014 8=454+, -1 a.tr 8E <br /> BZW z0 6 <br /> -l0 a0 or« <br /> 3..� <br /> 63- f5 ellaw« ° <br /> sq-:5* TP <br /> !M. v <br /> A-15. o=00a°+ o <br /> 155-57 <br /> It <br /> F'S.-to ZZPna+ t.j, <br /> O 3ila. t <br /> (3E^lt7 Ce lt{ <br /> O`�t us <br /> - <br /> Is,. (si nature) �{ D e/Time Re iv by:( ' Date/Time 7v Total#of containers :NotLes7�Zif2aain of Custody sealsf ftl/NA -Rehnq d bysignature) Date/Time Recei d b Date/Ti a Seals iota /NAS . 14 <br /> 5a (ZS(1S' zs860Received good conditioNcold b eRelinquished by:(signature) Date/Time eceived by'(signature) at /Time <br /> Turn around timer - <br /> Sample disposal Instructions: , Disposal @$2.00 each Return to client _ Pickup <br /> COC135500 <br />
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