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ARCHIVED REPORTS XR0001301
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CENTER
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205
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3500 - Local Oversight Program
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PR0544173
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ARCHIVED REPORTS XR0001301
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Entry Properties
Last modified
2/25/2019 2:20:26 PM
Creation date
2/25/2019 11:03:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001301
RECORD_ID
PR0544173
PE
3528
FACILITY_ID
FA0003613
FACILITY_NAME
ARCO STATION #4493*
STREET_NUMBER
205
Direction
N
STREET_NAME
CENTER
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13909003
CURRENT_STATUS
02
SITE_LOCATION
205 N CENTER ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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i ! • <br /> SJ'-.QUOTA ANAIXTICAL SAMPLE RE+'GL+'IPT LOG <br /> CLIEN 1'NA14]E DXfE 11ceel ed at Lab --[ ' Di hiking mater for <br /> ikEc.BY(P1t1N 1) 'lkvlL Recaivcd at Lxb. r egulatory purposes: YTS A NO + <br /> NVORKORDFR, 'j L I,OG IN DATE. �-.1f�d T./ NVasttf'cote( fOL <br /> regulatory pruposrs. YFIS 1 O ` <br /> CJRCF.F,'rFTF.APY11OPItIh'1TRESPONSE LAB CONIA]VlUt SAMPLE D, TF. RRMARKS <br /> SAMPIAll # (.IAPA r ID MCRIPTION 1M ATRTX SAMPLED CONDITION RTC. <br /> I Custody seal(s) Present IA-8—ch-P), l -1 [, I.- -0 Z- <br /> Intact 113r- Cn* Z W <br /> 2 Cham-of-C<lstody Fra /Absenl* W-3 <br /> 3.Traffic Reports or 4 <br /> Piaokfiia Last premnt e �' ' <br /> 4 Aublll Alrbdi/ShckCT <br /> i '.l <br /> Pies+ni� bscnt �- Wl <br /> 5 Arrblll 9. YA Vj-� (VQ?—C> <br /> 6. 5vn1 le Tabcls 1 Absent <br /> 7. 5amplcltDs Lls \iotLlsted - <br /> !Ljalis-of Custod (I a)- <br /> 8,.Sample CoadcttonIoksc ilrokeu*1 12- y' VJ-bm + <br /> 7.eakm * 1 rhw-lob <br /> 9. Does infuriation on <br /> custody reports,traffic ' <br /> rgmrts and samplo <br /> labels agree? yeg No,lk <br /> IQ. Sample recewcd vnthin <br /> 11016 time <br /> 11,Proper Pr44imalivas <br /> lased` <br /> 12.Temp Rcc at l-ab: <br /> (Acceptance range.for samples <br /> roqurring thennal ptcs 4Tf-2°C) 9, <br /> *�F� iron(rCesY ) z <br /> *If CircIcd,cotftet Prro ect Manager and attach accord of resolution, <br /> Sample Recafpt Log <br /> Revision 2 2(04611102) Pageo f <br /> Replaces,Rewsian 2 1(11110,'00) 4— <br />
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