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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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EHD - Public
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-- ANALYTICAL REQUEST/SAMPC2CHAIN OF CUSTODY — LAB.TRACKING #: - -- �--- <br /> RECORD L+ OFDATE RECIEVED: , - - -- <br /> LAB.INVOICE TO: --j.7dti...Y_._-I-- tJ.*-.:.... I �-- --------- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 --------- -- --j_-----__ <br /> OFFICE-(209)847-5757 <br /> CONTACT:FAX -(209)847-7744 PHA D <br /> ( ---)- - - <br /> CALIIFORNIA CONTRACTORS LICENSE 8 657366!CLASS"A"ENGINEERING <br /> JOB <br /> LAIR.ANALYSIS REQUESTED SITE SAMPLING MAP <br /> CUNT: CONSULTANT 0 9 <br /> F! P4 <br /> SITE NAME: PROTECT: tai-mof <br /> ADDRESS: L CITY: 0 t4 ST: (y H O <br /> SAMPLER SIGNATURE L O m r1i n o <br /> SHIPPED VIA: WAYBILL <br /> ANALYSIS BY: TURNAROUND TIME: DAYS I�s1 w W W <br /> SAMPLE LD./ DATE TIME CONTAINElfS TYPE MATRIX ji.' i , <br /> . :'! REMARKS/LAB.I.D. <br /> 1.) .- _97 1310A s cm Y <br /> 3.) �� G_ Q <br /> 4.) %1? S, it - <br /> 5.} <br /> F) <br /> 7.) <br /> fl.) <br /> 9.) <br /> 10.) <br /> IlJ i <br /> 12.) <br /> 13.) <br /> 14.) <br /> I5. e <br /> MME <br />( RELINOUISHM BY: • RPCEIVED BY: .� DA-M ITIME <br /> SAMPLE INTEGAUTY CONDITION <br /> (SIONA7URE) �r f t�/ tjL j /N/� �' {ECE1VEh COLD&INTACT / YES f ) NO ( } <br /> RIVED BY: Y DA'1}:l TUNE <br /> ,/ 1; BL <br /> L i ,.,_1 AIR BUBBLES IN V.O.A'S / YES f No( LIN S a- <br /> fSIGNATURF1i� -4�i R Aa { '7 (SIGNATURE) +. �, •�:I. i A.1` �'..,U•�-�.r /b _C- /�7� CUSTODY SEAL5INTACT 1 YES f I NO f ) N/A f ] <br /> A It1 RME DATE i TIME <br /> kELINQI1151tED BS'r ` RrsMIVED BY: PRFSFRVATIVES USED / YFS NO f <br /> 1 (SIGNATURE) ! 110E QV MQEBV4j[VL(§ <br /> W NOTF- PLEASIi ARCHIVE Till?SAMPEFS SUBMfTTED FOR THE FULL 1141.1)INC TIME ASLO WED,UNLfiSS OTMA ARRAN(:EMFNTS ARI:MAI)F (M.T.B.F.,T.A.M.E.,IE.T.B.R.,D.I.P.E..T.R.A.) <br /> B.B.=BAILER BLANKS COI.I_F("ITi)IN 1I11;FII:LI?. F.B.=FIFL.I)BLANKS('01-1-ECFED INT]IF.11fELl). <br /> .PINK,-FIELD COPS WHITE R YELLOW•TO LAIi-INITII SAMMES VELLOW-RETURN TocLIENT"'i'm RFSf:LTS DF.I:TE('11 C.O.C.FOR%1 98 <br />
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