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ARCHIVED REPORTS XR0003398
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DA VINCI
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4627
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2900 - Site Mitigation Program
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PR0543804
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ARCHIVED REPORTS XR0003398
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Entry Properties
Last modified
6/28/2019 3:42:57 PM
Creation date
6/28/2019 2:42:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003398
RECORD_ID
PR0543804
PE
2950
FACILITY_ID
FA0024907
FACILITY_NAME
7-ELEVEN STORE #20632
STREET_NUMBER
4627
STREET_NAME
DA VINCI
STREET_TYPE
DR
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
4627 DA VINCI DR
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\wng
Tags
EHD - Public
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F8733 Rey <br /> Acculabs Inc. Lab Number r3 <br /> 1046 Olive Dnve Davis CA 95616 530-757-0920 Fax 753-6091 f <br /> It 1175 Suttle St Durango CO 81301 970-247-4220 Fax 247-4227 Report <br /> [ ]4663 Table Mountain Dr Golden CO 80403 303-277-9514 Fax 277-9512 Due Date <br /> ]992 Spice Islands Dr Sparks NV 89431 775-355-0202 Fax 355-0817 <br /> Client Fax Results Y N Page of <br /> Address RUB !C WAGER SUPP ! F�RMATION W <br />' City,State&Zi System Name <br /> Contact PWS No Report to State/EPA Y N <br /> Ph Collector's Nam f r POE No DWR No <br /> F Project Nam sti� � Collection Point <br /> P O Number Project NumberCity County <br /> CH(- Analyses <br /> SAMPLE T�fPE CODI=S g C <br /> DW=drinking water TB=travel blank Compliance 8 n Requeste <br /> =waste water SD=solid Monitoring p <br /> ! 8 <br /> MW= onitonng well SO=soil Y N e <br />' =hazardous waste SL=sludge n <br /> � JRNAROUND TIME REQUESTED Tx <br /> �T- 0 <br /> Standard Lab Manager <br /> Approval a p s <br /> RUSH <br /> Special <br /> CLIEN�TSSAMPLE IDILOCATION 'Date' Time . Spl No <br /> ©� � o I <br /> �- � � 3 oz <br /> Ia 3 of <br />� w � <br />' lnstructionslCommentstSpecial Requirements <br />' SAMPLE RECEIPT Date Time SarVpIes Relinquished By Samples Received By <br /> Received Cold Y N <br />' Custody Seals Y N <br /> Seats Intact Y N <br /> No of Containers <br /> Acculabs, Inc's Standard Terms and Conditions apply unless written agreements specify otherwise Payment terms are Net 30 <br /> To the maximum extent permitted by law,the Client agrees to limit the Inability o€Acculabs Inc for the Clients damages to the total compensation <br />' received unless other arrangements are made in writing This limitation shall apply regardless of the cause OT action or legal theory pled or asserted <br /> 301 2F <br />
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