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ARCHIVED REPORTS XR0001001
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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1145
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3500 - Local Oversight Program
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PR0544235
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ARCHIVED REPORTS XR0001001
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Entry Properties
Last modified
3/6/2019 5:30:55 PM
Creation date
3/6/2019 3:29:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001001
RECORD_ID
PR0544235
PE
3529
FACILITY_ID
FA0004672
FACILITY_NAME
INDEPENDENT TRUCKING
STREET_NUMBER
1145
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16323012
CURRENT_STATUS
02
SITE_LOCATION
1145 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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R_�.yrF^ s"`�..,.-4'�y <br /> Y J <br /> s <br /> SAMPLE CHAINOF CUSTODY RECORD <br /> DEL-TECH GEOTECHNICAL SUPPORT (PLEASE PRINT) Lab. Analysis by : m_-r d <br /> 10624 OLIVE AVE. OAKDALE, CALIFORNIA 95361 LAB INVOICE TO ho, <br /> OFFICE (209) 847-8757 <br /> FAX (209) 847-7744 RECORD OF PH.# ( } <br /> CLIENT 1 CONSULTANT: itA o 4 Ssoc ER # INVOICE# <br /> /�/�s -�s9d��lluUPJ�� Tr��c�•�'� <br /> ANALYSIS REQUESTED SITE SAMPLE MAP <br /> / o la� <br /> PROJECT/SITE NAME f ITEMIZED AND CTTECRSD BELOW J �"O5C1" <br /> /t NOR <br /> 45-UA �/t' s`�ss4r <br /> STREET CITY e*" STATE-& <br /> wy" vN f�✓ HIP VIA <br /> SAMPLER (pwNTED sICNATuRE) AYBILL# r7!G F_7Z-7 Fe/ <br /> SAMPLE LOCATION DATE TIME <br /> NUMBER TYPE <br /> OP {CRAB OR ,1 <br /> (IDENTIFICATION) MT&JDA)/YR TIouR!MIx � � �MPOSI7S MATRIX 'V REMARKS/* SPECIAL INSTRUCTIONS BELOW <br /> Co G IG 94- S" f' sd� l <br /> 2.) <br /> 3) 16016 r 14z>r r/ <br /> 4) A. _ zp 14lo I - <br /> 5) - .26 1GH 1.4 1 t <br /> 6.) Jo � I (:- 4 6-yot WT2 <br /> 7) _ <br /> s) <br /> 9) <br /> IO) <br /> 7 IFF— 3� t+SAMPLE INPECRITI I CONDMOA d�TURNAROUND 77111EV ,f <br /> RECEIVED COLD AINTACT J }ES � � Np <br /> INQ ISBS a�caunm ATE!TIME ECEIYED IY DATE!TIME. PRUSERVATI1.FS USED J }F_S } NO } <br /> �csprmTm, <br /> 77 1_JaJr� ////// ? 7 �+ I/��/� C11STODS SEALS INTACT' ! ]ES 1Y0 N!ACP1.7 � C4/�'I 7 AIR BC!BHLFS IN V OA 5 J VES , NO { LINE# <br /> NQLISHED BY ATEI TIME ED B] aw ruwe, ATE/TI(((M& <br /> TL RN AROUND TIME CHECA 0%E <br /> 7 f 0 <br /> ELINQVISHM B5 aMwn�� ATE/TIME E�F.IVED BY LABORATORY fwnT1Y41.1T 1 ATEJ TIME��`� " 11 UR 1 � A8 HOUR � } � DA) � � 19 DAl { <br /> NOTE I.AR RY SA11PLE ARCHIVING WILL BE 3(11)AYS 1'RONI THP 1tATH SAfMPI.E L()LI I:LTNll,[\}LESS OTHER ARRAIN(.EMFNFS ARM NIADI' <br /> PLEASE RE jWU-TFCH'S ILE CHEST ANT)BI UE ILL;AS SOON AS POSSIBLE THAN DH I I ORNI C O L <br />
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