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ARCHIVED REPORTS_XR0011260
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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F
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FREMONT
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2804
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3500 - Local Oversight Program
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PR0545172
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ARCHIVED REPORTS_XR0011260
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Entry Properties
Last modified
1/13/2020 12:02:39 PM
Creation date
1/13/2020 10:50:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011260
RECORD_ID
PR0545172
PE
3528
FACILITY_ID
FA0009349
FACILITY_NAME
DIESEL PERFORMANCE INC
STREET_NUMBER
2804
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
14343001
CURRENT_STATUS
02
SITE_LOCATION
2804 E FREMONT ST
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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= No <br /> bQUOIA ANALYTICAL 680 Chesapeak e • Redwood City, CA 94063• (650) 364-9600 FAX (650) 364- <br /> ❑819 Striker Ave , e 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-01 <br /> CHAIN OF\,CUSTODY ❑ 404 N Wiget Lane •Walnut Creek, CA 94598• (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954• (707) 792-1865 FAX (707) 792-0342 <br /> .� Company Name ATC M So6%4 e L Protect Name bj"q RY <br /> t <br /> Marling Address Q,160 S G4VlX k iC% ,br► Billing Address (if different) <br /> City Moac%- - State C-Ok. Zip Code QS351 <br /> Telephone ZOq- 57$-ZZZI FAX # Z0q-579- ZZZS PD # LD <br /> Report To P_ %A0%6.%%Cj jSamplerAk.L9 TIVrcS QC Data O Level D (Standard) ❑ Level C ❑ Level B ❑ Level A v <br /> Turnaround �0 Working Days ❑3 Working Days ❑2-8 Hours ❑Drinking Water Analyses Requested <br /> a , <br /> Time ❑ 7 Working Days ❑2 Working Days 0 Waste Water <br /> h <br /> i ❑ 5 Working Days ❑24 Hours ❑Other �o� <br /> Client Date/Time Matrix # of Cont Sequoia's ,} Z.�' 4a <br /> Sample I D Sampled Dese Cont Type Sample # op �q �� Comments <br /> 1 M W sr 4�1 'I µF eft ✓ ✓ ✓ ✓ <br /> LU0 <br /> 2 Cr <br /> v� <br /> 3 � ;�_` ?° 'y {= r?` � r . *, 'tui, i n 3 <br /> 4 ¢¢¢777 <br /> - J <br /> 6 <br /> rr--W61! <br /> + 7} `0 <br /> 8 co <br /> f <br /> 9 <br /> 10 <br /> Relinquished By DateojZtV Time It/00 Received By N Date Time 14&,-o f <br /> Relinquished By Date Time Received By Date ' Time <br /> Relinquished By Date 1 Time Received By Lab Date _ Tim,- <br /> Were <br /> imeWere Samples Received in Good Condition's ©Yes 0 No Samples on Ice? /Yes ❑No Method of Shipment fAV r W - Page_ __.of <br />
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