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ARCHIVED REPORTS XR0009487
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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4004
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3500 - Local Oversight Program
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PR0544711
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ARCHIVED REPORTS XR0009487
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Entry Properties
Last modified
7/30/2019 3:07:00 PM
Creation date
7/30/2019 2:28:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009487
RECORD_ID
PR0544711
PE
3528
FACILITY_ID
FA0005478
FACILITY_NAME
CUTTER LUMBER
STREET_NUMBER
4004
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
17525005
CURRENT_STATUS
02
SITE_LOCATION
4004 S EL DORADO ST
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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4080 PIKE LANE,SUITE C CHAIN-OF-CUSTODY RECORD 3 2609 <br /> ® GTEL CONCORD,CA 94520 AND ANALYSIS REQUEST <br /> (510)685-7852 <br /> (800)423-7143 1MEN <br /> Company Name Phone# 3110 I <br /> FAX# w ci a z I <br /> ompany Address Stte LocatronOp y I j � I i 1Ni I I <br /> 13 ii w Z; ¢ <br /> 0S-1 96 <br /> Project Manager Client Project ID # a F N <br /> w <br /> D m W m m z O I a m <br /> R tc s �ti LL <br /> Sampler Name(Print) o t I y C I ' i I ° E I <br /> I allest that the proper held sampling p ( ) r . ro D a t 1 I I 0 a -J a rn ' F <br /> procedures were used during the �� { r 3 C O N I C N c of 0. 3 N I I a N , a <br /> collection of these sam les 10 I 1 ° a $ Nr- a <br /> c u m co 0 m a m m I I m m I I I I > $ U o m <br /> Method Sam Itn 2 D a a ¢ m 11 I I - N K N <br /> N Matrix Sampling S b cs a m II w a o �, II a <br /> Q Preserved i t w w as J ., <br /> Field GTEL w I I N $ w °° $ til E 1 I J 1 ! d a <br /> Sam le Lab# a w ~ a m O " N o x 42 <br /> U t7 `� a ¢ w <4 G O "' c o <br /> ID rLab Use o o w 8 ¢w wg w w W m U) F—a a a a a - <br /> t\ y } v a 0 v z h w Z ¢ r — a D a a a a Q. a a a 0 a a w `o <br /> only 3 Z5 a r i o O z z x V �� O O F m m s S 0 N w w w w w w w w w 1- w u 0 v <br /> V�-+ Q, <br /> ----- -- <br /> 03 A <br /> - <br /> � baa(► <br /> S ECIAL DETECTION LIMITS REMARKS <br /> PJ � <br /> Handling �L. t 0 fc. u C� <br /> TAT Special Han 9 2015 � ��eR 'C' � Q <br /> Priority(24 hr) J GTEL Contact <br /> Expedited(48 hr) F1 Quote/Contract# t C 0 II VL��- <br /> pR <br /> 7 Business Days I I Confirmation# J <br /> Other, SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot o Storage Locai n <br /> C �,z <br /> Business Days E3 PO # j,/ <br /> QA/QC Level Work Order# C I IOO Z5y <br /> Blue 0 CLP 0 Other❑ AX❑ <br /> Rett tt <br /> m e Date Time Received by <br /> R� <br /> CUSTODY Date Time Received by <br /> A i�nqui JJ-�-i'�iA 1 (,� <br /> RECORD <br /> Re�nquiDate Time R eived by Laboratory <br /> �,90% Q97�r�-,f3'' U Waybill 0 , r <br />
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