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ARCHIVED REPORTS XR0006971
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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103
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3500 - Local Oversight Program
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PR0544638
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ARCHIVED REPORTS XR0006971
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Entry Properties
Last modified
7/9/2019 2:49:02 PM
Creation date
7/9/2019 2:14:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006971
RECORD_ID
PR0544638
PE
3528
FACILITY_ID
FA0004027
FACILITY_NAME
HENDRIX FORK LIFT INC
STREET_NUMBER
103
Direction
N
STREET_NAME
E
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15318001
CURRENT_STATUS
02
SITE_LOCATION
103 N E ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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wwon �.nA.m ver- t-:USTODY !LAii TORY ANAL'Y�SIS REQUEST FORM1433 Notrth MarketBoulevnr&Sac�rameoto,CA 95834 tceRequestNo: Purchase Order:4 916 928-3300 F'AX 916)928-3341 �� P lAb-. CAS, Santa Clarac � c °t <br /> Project Name:Teicheirt&Sons,Stockton Analysis Requested <br /> 1Project Number: ZOF90-002.007 <br /> !Project Manager: Matt Turner <br /> Company., Pinuacle M o <br /> 1 Address: 3939 Cambridge Road,Suite 220 :1a o� 4 <br /> Cameron Park,CA 9568. U a <br /> CL 0— <br /> Phone- (5.30)676-6884 0 W w V <br /> :FAX: (530)676-6885 <br /> 'Samplees Signature: <br /> z a REMARKS <br /> aenp e p C 8r SI Sfi t3T Cas�tawn Typcs " <br /> i,f�, Date Time l.D. Matritx NP NP sr �iP J?rtservations �' <br /> Sp_l A/B 3/'23!99 soil " 2 X X X X <br /> SP-2 ASB 312.3199 soil 2 X X X X CD <br /> co <br /> SP-3 AB 3!23/99 soil 2 X X X X <br /> SP-4 AB 3.23199 soil 2 X X X X — -�--- o <br /> — sotil` X X X <br /> SP-6 A.•B 3./24/99 t Soil 2 X X X X <br /> SP-7 <br /> AS 3/24/99 l3 l sail 2 X X X X l <br /> SP-8 AB 3/24,99 y l soil 2 X X X X <br /> SP-9 A.,B 3,24i99 soil 2 X X X X 34 rn <br /> SP-10 Ai'B 3124(99 sail 2 x X X X o <br /> Sl' )lAB 7,'2A699 soil 21X X X X <br /> SP-12 A;•8 3/24/99 soil 1 2 1 X X X <br /> AE1 QLiLS Y (y RELINQUI.Sfi1~D BY RCCErvM BY iTfR AROVAT) REP TREOMEMENTS ;;U <br /> draa <br /> AEQL`IRE� hii X E. Roume Rcpon <br /> �, gnature l siEnaturc Sigaatute 14 hr .:hi X s&Y !l. Rrport(inciudcs DOP,MS <br /> HamldDuke MSD.as required,ma}be O <br /> P ntcd Mune Printed Nsme Printed Nww Printed Name pra.ide VUM Pleurw�RoOn chargrd as samples} <br /> EMCON u,n? Pro•id:F.AX?"imuw)"utm 1Q Data Validation Report <br /> Fiero Fi Firm Fiem tsq, t"4Fa,sn- fisae%iSe All/Law Data) <br /> J A)Un RWQCB <br /> D une rti a J)"Time AeteJt'tme (MDL.TQLSrfRACEA-) <br /> REL1NQUIS UD BY RECET%TD BY Special IDS trUCdQ l9/C0MWeUt3: Lt 8 Container Types Key: � <br /> 40 m(VOA. t co <br /> 5ignatux sLpabiue 1) Foe esxyMao,analyze lbr IVWBE,TBAL,DJPF,ETBE,and TAME 250 ml L.PE: 2 <br /> 00 <br /> using 2260 500 ctrl LPE: 3 co <br /> co <br /> Mrineed Name PrintH Name IR I liter HDPE: 4 <br /> 0 <br /> Coraosiee AIB samples in Iib for ONE aratysis 500 ml glass: 5 <br /> Finn Firm S liter 8:12-ss: 6 ,p <br /> 2x6-Js ring. 7 � <br /> Aawffime e/Tlma gfwj u: 8 '� <br />
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