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ARCHIVED REPORTS XR0001192
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0527799
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ARCHIVED REPORTS XR0001192
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Entry Properties
Last modified
3/4/2019 7:11:41 PM
Creation date
3/4/2019 1:51:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001192
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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M UNI V dW U 9ftll MRAh4NRA'i Y AWL*M RMW EA 'U1M r M <br /> IT CORDO ION- 1326 North Market Boulevard,Sacramento,CA 95834 Purchase Order <br /> i <br /> (916)928-3300 FAX(916)928-3341 Lab Sparger Technology <br /> Project Name Don Rogers Analysts Requested <br /> ClobalID No T0607700717 <br /> Project Number 8800391A/01050000 N <br /> Project Manager Kathleen Waldo v 00 <br /> Company IT CORPORATION <br /> Address 1326 North Market Boulevard o <br /> Sacramento,CA 95834 v X <br /> Dir Ph 916-565-4370 / FAX 916-928-P341 ° M o <br /> L � � <br /> Q) /^ <br /> � V w <br /> Samplers Signature REMARKS <br /> Sample LAB Sample I Container Types <br /> I D Date Time I D Matrix HCI Preservations <br /> M W-1 R z I-L water 3 3 <br /> VW-2D Z Z b9 water 3 3 <br /> VW-3D 22,1, 31 water 3 3 <br /> VW-4 3 water 3 3 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I Routine Report <br /> Signr Sim Signature Signature 24 hr 48 hr 5 day 11 Report(includes DUP,MS <br /> X Standard(-10 15 working days) MSD as required,may be <br /> PnnName Printed Name Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> i�LtVC-AA1Wgz w("f` Provide FAX Preliminary Results III Data Validation Report <br /> Firm /t Firm ''p, Firm Firm Requested Report Date (includes All Raw Data) <br /> (�(� -9`�' RWQCB <br /> Date/Time 26GZ IJ140 Datelrime �/3 Date/Time DatinTime (MDLS/PQLs/TRACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments Container Types Key <br /> Sparger Technology 40 ml VOA I <br /> Signature Signature 3050 Fite Circle,Suite 112 125 ml LPE 2 <br /> Sacramento,Calif 95827 500 ml LPE 3 <br /> Printed Name Printed Name Need EDDs per RWQCB Requirement for UST sites 916-362-89471 Fx 362-0947 1 liter HDPE 4 <br /> 500 ml glass 5 <br /> Firm Firm I liter glass 6 <br /> 26 sls ring 7 <br /> Date/time Date/time glass,lar 8 <br />
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