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ARCHIVED REPORTS XR0006540
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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6425
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2900 - Site Mitigation Program
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PR0519189
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ARCHIVED REPORTS XR0006540
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Entry Properties
Last modified
8/21/2019 4:12:33 PM
Creation date
8/21/2019 3:08:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006540
RECORD_ID
PR0519189
PE
2950
FACILITY_ID
FA0014347
FACILITY_NAME
CURRENTLY VACANT
STREET_NUMBER
6425
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741031
CURRENT_STATUS
02
SITE_LOCATION
6425 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
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EHD - Public
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i • <br /> Secti0n I Chain of Custody and Analysis Request McLafi <br /> Consultant wes7lef„ Gm _LG• rhecy Turn Around Time — , Superior Precision Analytical, Inc. <br /> Address _ GY6 F eQarne-- S{ _ (cirde one) <br /> P O Box 1545 <br /> cg, ys776 - Same Day 72 Hrs. Martinez.California 94553 <br /> Phone No N0. l a 2 62^d,2-7 24 Hrr- 48 Hrs Martinez 115101229-1512 Martinez 21510)229-0166 <br /> Project Manager Gcbe�'icevf ormal 5 Day SanFrantrsco 1415)647-2081 <br /> Alternate Contact Sampe . <br /> Project No. �'0 3 _P.D. No. '73-&00;2-5 Regulatory Agency: <br /> Section II: Analysis Request <br /> Sampling Remarks <br /> X N g E] Bio-mmediation <br /> Q <br /> 4 L X I Underground storage tank <br /> 3 ui u� rn � E Monrtaning <br /> Laboratory . " r <br /> Sample W 3 o 0 m o o � °° � � � Ito ,� Recent Conteminat+on <br /> Identification Matrix m m v o ¢ P z' Unknown Compounds <br /> 1 llc•oul� <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> 11 i <br /> 12 <br /> Relinquished by Tlwr, <br /> te/ e R by �� ,� Lab please initial the following: <br /> �� <br /> Organization L J Vl /o Orgarivation Samples Stored n Ice <br /> Rel':nquishad by Date/Time Remved by Date/Tum Appropnew Contanere <br /> Organization Organization Samples Preserved <br /> VOAs without Headspace <br /> Relinquisher! by TNte/Time Recerved by Date/Time Comments <br />
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