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ARCHIVED REPORTS XR0009840
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 XR0009840
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Entry Properties
Last modified
7/30/2019 1:50:53 PM
Creation date
7/30/2019 1:10:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009840
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/SAMPLE CHAIN OF CUSTODY-- LAB TRACKING # <br /> RECORD OF 1 DATE RECIEVED ---------------- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES IAB INVOICE TO <br /> ------C --- ----- <br /> 10624 OLIVE AVENUE,OAKDALE,CA 95361 t ' .---.-- <br /> OFFICE-(109)8474737 fi <br /> FAX -(209)847-7744 PH# ( -)---rte--- "INTACT ------�� .-.__.-_—..............._ <br /> CALIFORNIA CONTRACTORS LICENSE#6S73661 CLASS"A"ENGINEERING <br /> OB OCE#----------------- P D <br /> I 't 13]it III'4 i I!, ! i l l l l l Il 1 J J i LAB.ANALY919 <br /> fl Il�, il1,l,11!111 ullllllllllllll I II I I VIII I I I I I.Ili,!„i ,, ,�l a Alli 11�11f fEfllllili II II VIII III f�I,Elfllllll I� il. I II ul I IIII I!I,€��l,l I,IQD> En SITE SAMPLING MAP-- <br /> CLIENT CONSULTANT 1 �° � <br /> SITE NAME PRO IECTCc <br /> >` <br /> ADDRESS MS, ELDW9>51CITY ST dA. o <br /> SAMPLER SIGNATURE <br /> SHIPPED VIA WAYBILL# <br /> ANALYSIS BY TURNARDUNDTEWE DAY W `w ao W WAb <br /> }Ilji! Sti►tPLOILD 0 JM TE TIME CMTUNMU TYPE MTM fl l REMARKS/IAB ID <br /> 1) Z 61 <br /> 3) <br /> 4) <br /> 5) - - <br /> 6) <br /> 7) D L <br /> B) <br /> 9) <br /> 10) <br /> 11) <br /> 12) <br /> 13) <br /> 1a) <br /> 1s) <br /> RII..B(o(MMDBY �1 RSCEIVEDBY /O.. 9 SAMPLE G /COD ION <br /> (SENATUM ' .ZA i�t_ RECEIVED COLD A INTACT I YES NO <br /> MINQu1sHm BY _f s�9 W �� � 1 DATE rTu, G AIR BUBU.ES IN V O AS I YES NO LI S N <br /> ✓ �� (SMAS f+ �F'y / lo CUSTODY SEALS INTACT 1 YES{ NO( N/A'DATEITEWE { <br /> RF1B1QIMMBY ItHT-WEDBl J '� DA'iEr7➢HS PRESERVA'TIVESUSED I YES NO <br /> AMATURM TYPE V L <br /> NOTE PLEASF ARCHIVE THE SAMPLES SUBMITTED FOR THE FULL HOLDING TIME AllOWFD UNLFSS OTHER ARRANGEMENTS ARE MADE (MTBE,T.A M.E,F T B E,D I P E,TBA) <br /> B B =BAII LR BI ANKS COI I FCI'ED IN Till,FIELD F B =I'IPI_D BI ANKS[01 1 1 CI'1.f)IN TI N 1'IFI 1) <br /> PINK FIFID(OPI WIIITFRIFIIIrii Tl)l_4R111TD,,%\1PLFS 1F11((11 R1:fIIR%TII(11}•T%%ITHRF%IIT% 11F1_TRrur n( wt <br />
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