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ARCHIVED REPORTS_XR0010995
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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F
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FILBERT
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3500 - Local Oversight Program
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PR0545039
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ARCHIVED REPORTS_XR0010995
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Entry Properties
Last modified
12/10/2019 7:25:53 PM
Creation date
12/10/2019 11:16:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010995
RECORD_ID
PR0545039
PE
3528
FACILITY_ID
FA0010186
FACILITY_NAME
DEL MONTE FOODS PLNT #33 - DISCO WH
STREET_NUMBER
110
Direction
N
STREET_NAME
FILBERT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15702009
CURRENT_STATUS
02
SITE_LOCATION
110 N FILBERT ST
P_DISTRICT
001
QC Status
Approved
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Tags
EHD - Public
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-- ANALYTICAL REQUEST/SAMPLE CHAIN OF CUSTODY.--' LAB.TRACKING to,— <br /> RECORD <br /> 1 RECORD OF DATE RECIEVED: ---___---- - <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES LAB.INVOICE TO: ..-T C1 .-. . ..... . <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 ...�y 2� �1�.�..s��!_�� E. rAA <br /> OFFICE-(209)847-9757 �- <br /> FAX -(209)847-7744: ... PH.# O Q -L �CONTAGT: ---� - <br /> CALIFORNIA CONTRACTORS LICENSE 9 657366!CLASS"A"ENGINEERING <br /> P.O.# <br /> ! III III!i I !!II IIT #'!'I' II I! 1!! 'II!" !I'lill!!III!I I!!!4! I I' !III I! I'E''!!!!' I!!!�!!I'IIII I!!II !!�I! I!!it!!'! !��!! 119191 I III 1111!!��! LAI ANALYSIS R.EQUE iED ;' <br /> SITE SAMPLING MAP ' <br /> CLIEI�I: CONSULTANT:' Z !7!7 <br /> `Y 5l <br /> X r Y j <br /> 3 F ] y <br /> SITE NAME: PROJECT: ki <br /> s�•�i1A�R f Y 4 l <br /> ADDRkSS` L y <br /> a w SAMPLER SIGNATURE rt' <br /> r SIPPED VIAS r WAYBILL#. =. � ` s•'` •�`- G7 A m :p ago ago fz'4 'e r Akr l �? <br /> kb pi Q C <br /> ANALYSIS BY. - TURNAROUND TIME: Y #aiMAP= ''•'"'"' F` :`� <br /> Bi.--A, <br /> a . ?: <br /> �a <br /> ! ;: sAaIPIE LA f DATE TIME CONTAINERS ':TYPE MAr x II II!I II I Ii' II !'I!, II !!I II I I III I I REMARKS/IAB I.D. k : <br /> Acl �::: <br /> ` -�,•�� <br /> 24Om: -G'�r ;, "r`., ��'r +"?� `� :� �. fi•. �_''-�;"- _' -in" :'->'s`i S..z'�..` .,�^t,A.?.' a" y.' _ .+ <br /> _ .r <br /> FT <br /> Ix <br /> y. -.r.: ^F�k's ,/3� Misr. :sri.` �+..• .✓ate- -h: <br /> 74 <br /> v Zi <br /> 12) <br /> �W <br /> , �. <br /> a 4.' <br /> A ! ABCEIVEI BY: _ 'DA'rE1T1Hds _ <br /> RnExnrquL s � `� ' �g SAMPLEINTEGR►TY/CONDITION <br /> r. <br /> t %-+ (S)3MATURE} {' •!, '1.= ]tea f31!`i RECEIVED COLD&1N TAG7 J YPS.( . `l <br /> ;r�x+�� .tt .. _ - DATE 1 TIlYl6 <br /> BY s RSCENED BY a a AIR BUBBLES IN V.O-A.5 '1 YPS NO L. 5 R <br /> kyr :�'t _ CUSTODY SEALS INTACT /YES NO l' N/A <br /> y{'•s! a i,y er'�:t- 'Mv±-' _ - A -DATE ITDa <br /> 1 Sys _ w PRFSERVATWES USED <br /> r� `,a ' '•.*'. --_ .w: - .I (S[GTG'E1JAfj _ D <br /> " °'�.��TOfE�P!$J1SgARCH1VE7HE SAMPLES SUBMfITED ra0RTF1E FR}LL HOLDING TIMEAILOWED,UNLESS UTF�R ARRANGFldeNTSARE 1�1AA6 y,�+ - x,�(M.T.B.E.,T.tA.M,E.,E.T.B.E.,D.I.P .,T�A.) . <br /> 14 ,$B^ AIIk1�BLANKS COIlE4�ED TN-'I73E FIELD F B -FIEID BLANKS Cpr 1 xt�l-�n IN THE F�L.b - - <br /> h?a1*w*i�K PINK FIEI D COPT' -, .WHITES YEL[Att.-TO LAB WITH SAMPLES ::. t: S"1[I AW-RE71JRlY TO CLIENT WITII RFSULTS DFL-TECH C.O.C.FORM 99 <br />
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