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ARCHIVED REPORTS XR0009730
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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EL DORADO
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3430
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3500 - Local Oversight Program
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PR0544710
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ARCHIVED REPORTS XR0009730
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Entry Properties
Last modified
7/30/2019 1:44:16 PM
Creation date
7/30/2019 1:03:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009730
RECORD_ID
PR0544710
PE
3528
FACILITY_ID
FA0006247
FACILITY_NAME
Western Lift
STREET_NUMBER
3430
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
17525063
CURRENT_STATUS
02
SITE_LOCATION
3430 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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Tags
EHD - Public
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ANALYTICAL REQUEST/SAMI , CHAIN OF CUSTODY -- LAB.TRACKING N: -- ------ <br /> RECORD OF Z+ DATE RECIEVED: - - <br /> LAB.INVOICE TO: - lbeil =---------- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES --- <br /> 10624 OLIVE AVENUE,OAIDALE,CA.95361 <br /> OFFICE-(209)847.8757 9 — -- <br /> FAX -(209)847-7744 PH.A ---Jr7 "8 ONTACT: <br /> ------ <br /> -------- --------- .....v -..------------------------------------ <br /> - <br /> CALIFORNIA CONTRACTORS LICENSE 8 657366!CLASS"A"ENGINEERING <br /> O8 -------=------------I OI 8- -- - ----P.O.lV ----------,----_---------------- <br /> ,H. <br /> -- - <br /> �_, ,H I, I'. I;�I�.i,� �.I-y -�,� �� :,1I I i I `°� ; ; � 3 ,I I <br /> ,.; „, f LAB.wtuLvsls�Qt1FST1EaD ~SITE SAMPLING MAP <br /> CLD?NT: O' CONSULTANT: Q �cl 04 <br /> a <br /> SITE NAME:W �. PROJECT: (1r— - i S <br /> ADDRESS: } ' CITY: ST.: 1 0 C <br /> SAMPLER SIGNATURE: I O C <br /> o o <br /> SHIPPED VIA: XAIVWb WAYBILL 8: �'- I;D A a $a ] oho m <br /> x r d c. d d N <br /> ANALYSIS BY: TURNAROUND TIME: DAY W w <br /> SAMPIEID.ar RATE TIME CONTAINERS TYPE MATRIX h, ` REMARKS/IAB.LD. <br /> 1.) U1319cl I D <br /> 2) <br /> 3.) i O1Z <br /> 4.) 1 �f7 <br /> S.) <br /> 6.) <br /> 7.) <br /> $.) I.0- 1 '11 <br /> 9. <br /> - <br /> 9.) 0-0 <br /> t2.) P q <br /> 14.) 3 <br /> DATEWTIME <br /> Raal001511FD BY: :„4 RBMTVFD Be: �1 / DAA q SAMPLE INTEGRITY1CONDITION <br /> / <br /> r (SIGNATURE) 'llti.l�.+ _ � J' RECEIVEBCOLB&INTACT 1 YE ) NO f ) <br /> Rn urQulslrtn a�': 1 t✓ .�5 0� RrCE[VFn Bs-: (� 1 y` .1 o�TE TimE <br /> L <br /> IN V.O.A.'S / YES NO LINES N- <br /> i ? (SIONATURE) [ % , ;�(�� ! : ; j ".: O VI r '-, ��) ALS INTACT r YES ( 1 No 1 N/A <br /> .RELINQUISRW BY: � A RLC'EIVPo aI': DATF ITrME ES USEp r YES NOSIGNATURE) V -St <br /> A :JI <br /> F'LEASIiAR('111VE TFIF.SAMPLES SUBMITTEfi 14[1R THE F11L1.1101;i)IN(i TIME!A]],0WFiD;UNfJSS OTHER ARRANGI?MCNTSARE MADE—�` � ��� � � '•- "'�"�" "`� `���'���� {M.T.B.E.,T.A.M.E,E�.T.B.]?„]1�,I.1'.E:.,T.B.V) <br /> B.B.=BAII,F R BLANKS C'OLLEC-MD IN 7-III;l[E:LI). F.B.=1'II31.€)BLANKS COLLIX71il)[N Tl il?FIELD. <br /> PINK-FIELD COPY WHITE&YELLOW-TO LAB.WITII SAS7PLFS YELLOW-kt:f1!RN TO CLIENT WIT11 RF-SULTS, Dha.-TEcIl cm.c.FORST 99 <br />
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