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EHD Program Facility Records by Street Name
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STOCKTON
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1900 - Hazardous Materials Program
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PR0519326
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COMPLIANCE INFO
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Last modified
4/30/2019 2:07:28 PM
Creation date
3/28/2019 1:43:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0519326
PE
1921
FACILITY_ID
FA0009014
FACILITY_NAME
M&R CO
STREET_NUMBER
733
Direction
S
STREET_NAME
STOCKTON
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04703017
CURRENT_STATUS
01
SITE_LOCATION
733 S STOCKTON ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
FRuiz
Tags
EHD - Public
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Aquatic Bioassay Lab (ABC Labs) <br /> ENd= Subcontract Chain of Custody <br /> CLIENT DETAILS: REPORT INFORMATION: <br /> Client: IVAI Rush Analysis: E]5 days ❑4 days ❑3 days ❑2 days 024 hours. <br /> IN=DWI&CIA Address• <br /> Electronic Data Transfer:No <br /> Phone: W(805)52 ,4172 <br /> project. STK1932155(3014501) If yes,To:State Client Other <br /> Contact Person; Cindy Aguirre <br /> REMARKS: Sent From FGL Lab ST <br /> 0 <br /> � II <br /> la 3 Q w I� <br /> SAMPLING: x <br /> Samplerp�s) Jorge Gonzalez � � � �� � N Q M � I x l� `S <br /> v � <br /> Sam k Location/Description Date Time n <br /> a <br /> Number Sampled Smnpled F• Z �' Wit✓ �, L�F V <br /> 1 Diffusion Tank 2112119 0945 G wu I x <br /> Or <br /> CUSTODY: <br /> Relinquished by: Date: /% Time: /�d� Relinquished by: r _ Date: Time: _ - <br /> Received by: Dated l Time:—rT3 Received by:_.^ Date: Time: nVA- <br />
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