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ARCHIVED REPORTS_XR0008480
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WATERLOO
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4315
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3500 - Local Oversight Program
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PR0545859
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ARCHIVED REPORTS_XR0008480
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Entry Properties
Last modified
6/3/2020 5:10:41 PM
Creation date
8/15/2019 11:40:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008480
RECORD_ID
PR0545859
PE
3528
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2305
APN
08710034
CURRENT_STATUS
02
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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KIFFANALYTICAL S L Chain Of Custody Record <br /> Shell Project Manager to be Invoiced is <br /> N� <br /> 720 Olive Drive,Suite D 10SQENCI�&ENONIEERJN <br /> DATE ____411/2045 <br /> Davis,CA 95616 g1EC+Sa IMSIERACES BIII Merchant Si4 C'rt ER ,ar �� <br /> (530)297 4800 (530)297 4803 fax ❑tRWHOUSTON 4 � PAGE � of <br /> AMPLtNG COMPANY Lop CODE S(TE AMAESS{Stroat and City) OLOeAL W NO <br /> Cambria Environmental Tech,Inc 4315 Waterloo Road,Stockton, CA 70607700400 <br /> ADDRESS OF OElIVERABLE TO IAsapanmfe Katy n Oeayrel <br /> 17"0 <br /> 5900 Hollis Street,Suite A EA1AlL CONbl/LtANT PROJECT NO <br /> PROJECT CONTACT;H.mepyq PDF R•patloy shelloaklandedl�cambna-envc m 207-1359-001 <br /> Aubrey Cool <br /> SAWLERNAME(S)MrW Ron Barone t Jay <br /> TELEPHONE <br /> ifr�l�2JS)F�fWLYe Rit wlr k <br /> FAX EJifAM. {�� �L4 � 1 <br /> 510 420 3336 510 420 917 acs «�]�), <br /> O 00l�Cambrla Ci1V COm <br /> V, <br /> ,q <br /> iri'rrt^s �W <br /> 7URNAROUNp TIME{BUSINESS DAYS) <br /> ❑ 10 GAYS ❑ 5 DAYS ❑ 72 HOURS ❑ 48 HOURS 10 24 HOURS❑ LESS THAN 24 HOURS REQUESTED ANALYSIS <br /> ❑ LA RWQCB REPORT FORMAT 0 UST AGENCY <br /> w <br /> OCIdS MTBE CONFIRMATION MOHEST HIGHEST per BORING ALL � o Liz � � I FIELD NOTES <br /> SPECIAL INSTRUCTIONS OR NOTES CHECK BOX IF EDD IS LI NEEOED _ o °- e O $ E <br /> ^� <br /> yW� <br /> 1e N ? <br /> ConlalneNpreservat <br /> lvea CC <br /> a 44 cE ° <br /> cc emall report to sdalle@cambNa-envcom c c or Pip Readings <br /> C. <br /> or Labarnlory Notes <br /> vai o ° <br /> 1 I <br /> Wu C = v 7 y H {L N IX11CG <br /> l SAMPLINQ NO OF w to m a e $ M Q U a I�, °a n = W TEMPERATURE ON RECEIPT C° <br /> ISP Field Sam le Identification MATRIX <br /> Y p PATE TIME COQ � m 5 5 o w M w Lou. °> a > > > <br /> 10 40 <br /> • �-- I —fro ' ►oqo <br /> x <br /> low 1 1 �C <br /> v I <br /> 4 <br /> ICU- <br /> Na p r a <br /> ILOr` <br /> IN-shad by ISWg bxe) m <br /> Racaivad Dy ISiynatural Date <br /> Rhnqushed by(&gnaora) Recaivad by{Slgnabje) Date Time <br /> L <br /> Re�rpuahad Dy ISlgrmnfe] Recrvad ey grehrej Date <br /> Time <br /> �l O <br /> �r' QJ m <br /> DISTRIBUTION WNts Wth hnW reporl Green 16 Flla Yekowad Pick to CkHti <br /> lar16+0a Revision <br />
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