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ARCHIVED REPORTS_XR0004374
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0539293
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ARCHIVED REPORTS_XR0004374
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Entry Properties
Last modified
11/20/2019 3:28:56 PM
Creation date
11/20/2019 3:18:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004374
RECORD_ID
PR0539293
PE
2957
FACILITY_ID
FA0022465
FACILITY_NAME
VALLEY MOTORS
STREET_NUMBER
800
Direction
E
STREET_NAME
MAIN
City
STOCKTON
Zip
95202
CURRENT_STATUS
01
SITE_LOCATION
800 E MAIN
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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!i7 500 Giuseppe Court Suite 3 <br /> Exeelc <br /> Roseville,CA 95678 CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br /> Environmental! Labs Ph 916-773-3664 Fx 916-773-4784 <br /> Project Manager Phone# Electronic Data Deliverables Request <br /> 7-06 0-7-7ooy3ry Email Address <br /> V/ G17 2VE/f �'/ Ti'r�i� car, <br /> Company/Address Fax# <br /> ANALYSIS REQUEST Pae / of <br /> Project Number/P O# Project Name Wet Bins# <br /> U <br /> �5 oTotal Due D e <br /> Project Location Sampler Signature o m -- w Q m N <br /> Co L m CDN o m o J_- <br /> W k Onder' <br /> 0 � U � ti m r1 m ay Y a (3 <br /> Method 80- o_ 5 Q N p o <br /> Sampling Container Matrix �, ti t w ro N <br /> Preserved - E a m a o N <br /> ups � CO - m m w o A �, E cn 3 <br /> Sample � m � 0 C � � X Q <br /> N 63 cp N Lr) d Q � <br /> ID Date Time U o p p ;, a as U — m o c 'm w z `n y LAB USE <br /> Lu u, a is O m ti u ai <br /> 01 <br /> w < u~i E m w w J X m O C c 7 LL w M °xa' a m cn co in Fa o ONLY, <br /> O - � 5 U z w 0 Q O H a o m E' E m 0 im- m 0 w � as m w -� c �1 m <br /> cn .- d rra 2 r U z [f1 ¢ to F- I-- F- o_ O U u> > 'n -J F 2 2 2 Z U V CL <br /> E v r5- - M <br /> V, <br /> vM . 7 <br /> I � <br /> Relinquished by Date Time Received by Remarks/Condition of m/Sale <br /> kINOIA— <br /> Relinquished by Date Tlme Rec ed by Laboratory <br /> �� <br /> 15 <br /> BIII To <br />
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