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ARCHIVED REPORTS XR0001177
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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2900 - Site Mitigation Program
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PR0527799
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ARCHIVED REPORTS XR0001177
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Entry Properties
Last modified
3/4/2019 6:34:20 PM
Creation date
3/4/2019 1:40:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001177
RECORD_ID
PR0527799
PE
2960
FACILITY_ID
FA0018844
FACILITY_NAME
TRANSMISSION STORE
STREET_NUMBER
515
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
14707408
CURRENT_STATUS
01
SITE_LOCATION
515 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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�. ANALYSIS RE A <br /> TWHN CHAIN OF CUSTODY CORD Page 1 o <br /> CORPORATION <br /> d � <br /> Project Name/No 1 �'`"' Samples Shipment Date 7 Bill to 5 Cb t �9J <br /> ample Team Members Lab Destination a JD(r4 C� <br /> Profit Center No. 3 Lab Contact ill � <br /> Project Manager �_ t✓15 D^� Project Contact/Phone 33 Report to*10 ��v+•-� '�� Q tD <br /> Purchase Order No <br /> s %64'39?r' Carrier/Waybill No 13 <br /> 3 <br /> Required Report Date 11 a • m <br /> M <br /> Sample 14 Sample 15 Date/Time 16 Container ample 1 Pro. 19 Requested Testing 20 Candrtion an 21 Dispeeai 22 <br /> Number Dae T Volume servative program Recei t Record No. <br /> �r �� T <br /> CL <br /> 0 <br /> 0 <br /> %ff maw am 110W on m ro <br /> Cr <br /> n <br /> SL <br /> S ectal Instructions. <br /> 23 Sample Disposal. 25 <br /> Possible H and Identification• 24 P P <br /> Return to Client Disposal by Lab Archive—_..�— [mos ) <br /> Non-hazard Flammable Ul Skin Irritant Poison B Unknownm <br /> Turner nd Time Required: zs C Le��[�27 Ill� pro act Specific i3 act <br /> Normal Rush�lJJ3Date_ <br /> 1 Relinquished Date L da 11. Received by 28 <br /> Time* Y a <br /> 1Jffr17 <br /> Reli (juish .�- &It � Time tsgnap,re�Affdiadoni <br /> Date 2 Received by Date.— <br /> nquished by Tme l5ire�nirerjonl Time <br /> Data 3 Received by - DateTimeinquished by Time. <br /> (Swowre/Affifiawl <br /> Comments 29 <br />
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