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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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Section I Chain of Custody and Analysis Request pageL f-L <br /> Consultant -� .heev Turn Around Time — Superior Precision Analytical, Inc. <br /> Address qa E beam S (ram one) <br /> P O Box 1545 <br /> 04, 1?f7719 --ate Same Day 72 Hrs Martinez,California 94553 <br /> Phone No X; 6L- Etc No. 1 G2C2--0.2-7 24 Hrs 48 Hrs Martinez 1(514) 229-1512 Martinez 2(5101229-0166 <br /> Project Manager Gc 9el'i&0v-C ormal 5 Day SanFrancuco(415)647-2081 <br /> Alternate Contact Samp e . e-�2 f <br /> Project No. 60 3 P.O. No. Regulatory Agency: .Z--=--h C-L <br /> Section 11: Analysts Request <br /> Sampling Remarks <br /> x a <br /> b ❑ Bio-remeclation <br /> x <br /> Q ❑ Underground storage tank <br /> ai Monttonng <br /> Laboratory r U' 0 ,� W <br /> Sample �'3 m 0 m Recent Contamination <br /> c� <br /> Identification Matrut E E m y U o o 5 ❑ Unknown Compounds <br /> FI 17 y/ .S <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> s <br /> 10 <br /> 11 <br /> 12 <br /> Relingwshed byC ote/mv/TRece+ved by ���m Lab please inial the following: <br /> ^ il 0 eruzaUan r, L Y <br /> Organization 1la ng � Samples Snared ut ice <br /> Date/T ne Appropriate C intatrsm _ Z <br /> Rabnqurshed by Date/Tirw Received by les Preserved <br /> Organization �d1+ � 0 anuatton 3 /Z' DAs without Headspeoe v <br /> Relinquished by Dste/Tirne pownted by De�Erna Cornrnents • t <br />
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