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ARCHIVED REPORTS_XR0011036
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_XR0011036
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Last modified
12/10/2019 2:38:50 PM
Creation date
12/10/2019 11:46:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011036
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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EHD - Public
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= SAMPLE CHAIN OF CUSTODY RECORD <br /> DEL 1 ECH GEOTECHNICAL SUPPORT (PLEASE PRINT) Lab. Analysis by <br /> 10624 OLIVE AVE: OAKDALE, CALIFORNIA 95361 LAB. INVOICE TO Tez* <br /> OFFICE (209) 847.8757 <br /> FAX (209) 847-7744 RECORD_J_OF PH.# , ¢w5r <br /> CLIENT 7 CONSULTANT: A�,L Z. P.O.#/INVOICE# <br /> ANALYSIS REQUESTED SITE SAMPLE MAP <br /> PROJECT/SITE NAME: L, rlTEMITFD AND CBECIWED BELOW j jM 10 SC"� <br /> (NORTH) <br /> STREET:. L- CITY: ��[ � STATE: 1 c Id cc �CC 0Co C3 � <br /> LU <br /> f Y I`1� - C U O W O J w <br /> HIP VIA: m c co <br /> m a <br /> SAM Rwr»SIGNAUME) <br /> WAYBILL# be-TL <br /> a o CD Im a <br /> cm O ¢CD[Y W = Q_ w W <br /> SAMPLE LOCATION DATE TIME NUMBER TI'PE yMpy�r ca o =ru x o 0 6 �. UBEE6 <br /> {IDENrIFlGSTION) 1M771JDAYI}Tt SOUR/MIN. MATRIX p, a ac aEp N N m ao oO ao F REMARKS/ SPECIAL INSTRU <br /> [3.) <br /> 4.) <br /> 7•) <br /> &) <br /> i <br /> c �� +SAMPl6lMEGRITS'ICOMMON&TURNAROUNDTIME •• <br /> _ RECEIVED COLD L INTACT I YES NO <br /> kHEDBY;d ra DATE I TIME 72+ ECEIVED BY: DATE I TIME: PRESERVATIVES USED I YES } NO. i } <br /> _ CUGSTODY SEALS Iffi ;I YES � ) NO `. � MAW <br /> .AIR BUBBLES 1>i O;c", NU WNE f <br /> lNQUWHED ST-awrwruw ATE/TIME: RECEIVED BY:MOVATURIP LAE171MEdTURNAROUAD TIME: CHECAONE <br /> i[rD 81':4x:w�icac� ATE!TIhlf• 13CF.14'!U Tfi'f.Ahu1{AruRr: .�.r,�.� t�.,,, E I T14-. { 2s IIUUk } u1•FIUUR`('_• 5,:DA, r 10.11AY <br /> I�OIEs°LASOP' , AMPLE ARCHIVING WILL BE 30 DAYS FRO19 THE DATE_-SAMPLE "S COLLECTED.UNLESS OTIiER ARRA;NGEMEn-0 ARE MADE. y` <br /> LSE b ow CHE i�D B�"CEA 1T A:'Y S1BI- HAN `J — - ---I-i* M C--__--- <br />
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