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ARCHIVED REPORTS XR0008167
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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1448
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3500 - Local Oversight Program
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PR0544673
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ARCHIVED REPORTS XR0008167
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Entry Properties
Last modified
8/19/2020 3:35:12 AM
Creation date
7/18/2019 3:31:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008167
RECORD_ID
PR0544673
PE
3528
FACILITY_ID
FA0006182
FACILITY_NAME
REGAL STATION #604
STREET_NUMBER
1448
Direction
N
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95202
CURRENT_STATUS
02
SITE_LOCATION
1448 N EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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i,sr�con I <br /> Chain of Custody and Analysis Request <br /> �e f�1 <br /> Consultant e fern Gea-fin e/'S Turn Around Time <br /> Address Superior Preclsion Analytical, Inc. <br /> 7 Same Da 72 Hrs P O Box 1545 <br /> Phone No(iwV o ? S 3� /�_T Hrs X48 K-s Mancnez. Cahfom[a 44563 <br /> _Fa)c No. G� -oZ <br /> Project Manager 6!t-,vpNormal S DayM +nix I (5 10) 229-15I2 Marilnez2 IS!p'229-o 166 <br /> Alternate Contact Xe fix'•��- SanFrancuco(415 647-2481 <br /> Sampler. <br /> Project NO._kQe y P.C. No. Regulatory Agency: <br /> Section ll: Analysis Request <br /> Sampling Remarks <br /> a � <br /> K L x — f1 El Bio-reme d alio1 <br /> w� <br /> 3 Jt Undemround storage'-'�t-ank- <br /> Laboratory LD LD■ oo n ECL <br /> 15 Monrtoring <br /> Sample co co' w o o <br /> ❑ Recent Contsminataon <br /> Identification Matrix '8 o u a m E <br /> E E CO m c ❑ o z ❑ Unknown Compounds <br /> 2 <br /> 3 �f <br /> 5 k <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> Ralmquished by � Date sne Recerved by Dace/Tirtia <br /> Organization . �3 3 �' organva� ?a �� io�o Lab please initial a following: <br /> Relinqurshed by �Pl Stored n lea <br /> Date/Tirne Romvod by Date/Trme APP OPHBW Contanam <br /> DMB nQation 0 anrzatron Samples Preservod <br /> Relhnqumhed by VOAs wrthout Head"oe <br /> Data/Tmo Raconrod bDOta�me Comments <br />
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