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ARCHIVED REPORTS XR0011103
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CHARTER
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814
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3500 - Local Oversight Program
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PR0544222
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ARCHIVED REPORTS XR0011103
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Entry Properties
Last modified
3/5/2019 4:37:41 PM
Creation date
3/5/2019 2:03:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011103
RECORD_ID
PR0544222
PE
3528
FACILITY_ID
FA0005976
FACILITY_NAME
TIRE & WHEEL MASTERS
STREET_NUMBER
814
Direction
E
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16718101
CURRENT_STATUS
02
SITE_LOCATION
814 E CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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-- jiw <br /> ANALYTICAL REQUEST ST'/SAMPLE CHAIN OF CUSTODY---- T N <br /> 7� LAB TRACKING # ------------------ - <br /> RECORD OF DATE RECIEVED ---— --------__-- <br /> �'q'a,.e^ i r•`,6 5 �zr�"ra-,� � �'-':T L s3 F <br /> DEL-TECH GEOTECIHNICAL SUPPORT SERVICES LAB INvolc�TO -----........ -------�-----------------s--�.--=�--�------- ----_---- --- <br /> � j <br /> 10674 OLIVE AVENUE,OAKDALE,CA 95361 _� i� f- ;; <br /> OFFICE-(209)047-5757 i ----- - --FAX -(209)847-7744 PH# (- '-,---)`;=---r+-- -.-CONTACT <br /> --- --------------------=---------- ------------ <br /> — <br /> CALIFORNIA CONTRACTORS LICENSE#557356!CLASS"A"ENGINEERING <br /> OB# --------------------VOICE#--....... --......._P-0- <br /> LAS <br /> OLAS ANALYSIS REQUESTED SITE SAMPLING MAP <br /> CLIENT CONSULTANT W �O <br /> _ <br /> SITE NAME ' S 't § t�:� PROJECT ath `x e - <br /> ADDRESS �� �� � '����' �� CITY � �� `�f� ST <br /> SAMPLER SIGNATURE ` $ _ <br /> - �. <br /> SHIPPED VIA �_ 2 I WAYBILL# Q <br /> ANAL YSIS BY <br /> TURNAROUND TIME "-'I t i DAY(S) + <br /> " SAMPIELD A' DATE TWE CONTAWERS T}PE MATRIX n c I{EMARKS/1[AE <br /> ID <br /> ? @ 3� <br /> -t-4 n a �A 4FS7 '."e. x I *:�4 <br /> 2) 'YO . 4�3. Y i Y � P S 3A a q G M P g <br /> 4 I � <br /> k <br /> 7 5 31 <br /> ' 31s��•r � � L ` $ ��1.� � N � � � x <br /> t g <br /> 4 I ' <br /> ire , - <br /> 12) <br /> 13) - <br /> 14) ' <br /> 41D �AELLNgUislf3 s f 9 RECEIVEp9yZSAMPLE INTEGRITYICONDITfON <br /> rr <br /> �`i r FRECEIVEDCOLD&INTACT /YES !..`SNoTE f TIME <br /> RELINQUISHF 3 �` At ';�- RECEIVED BtrAIR BURALES IN V O A S 1 YES NO fl LINNS # <br /> ri / ' (siCLNATi7RE) y -Y . ' - t it;w"' s CIISTODY SHALS INTACT I I ES fy'�1 NO f ) NIA ( Y <br /> RELINQUISFB D Bl a RECEIVED R5 <br /> DATE 7 TIME <br /> PRESERVATIVES USLD / ITS +' NO <br /> •p a <br /> I ISIGNA7LRPr 1TYPE OP VAT 5 . 3 ` <br /> NOTE PLEASE ARCHIVE THE SAMPLES SUBMTITED FOR TUB PULL HOLDING TIME ALLOWED UNLESS OTHER ARRANGEMENTS ARE MADE (MTBE TLA M.E,E T B E D I P E TBA) <br /> B B =BAILER BI ANKS COLLFCI'ED IN TETE FIELD F 8 =FIELD BLANKS COLLECITI)IN THE FIELD <br />
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