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ARCHIVED REPORTS_XR0001986
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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HAMMER
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1612
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3500 - Local Oversight Program
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PR0545246
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ARCHIVED REPORTS_XR0001986
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Entry Properties
Last modified
1/30/2020 7:42:30 PM
Creation date
1/30/2020 2:55:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001986
RECORD_ID
PR0545246
PE
3528
FACILITY_ID
FA0003611
FACILITY_NAME
PARKWOODS GAS & FOOD
STREET_NUMBER
1612
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
07728002
CURRENT_STATUS
02
SITE_LOCATION
1612 W HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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• • • • • • <br /> ARCO Pro ucts Company Chain of Custody <br /> Diviakx+of AtlanilcRlchilwidCampany Task Order No. � �1 <br /> ARCO Facility no. City S T a Project manager Laboratory name <br /> Facilil T C'f N Consultant 1H7 Q/-EGL.' <br /> ARCO engineer�y ARCh �n ! Telephone no/ p Fax no. s <br /> ��"7yY� Conaullenl ( p/` � p �� GD Consultanl 9i) 9 z y` Contract number <br /> Consultant name Address /c/ �/ y�^7� C.� 3`47 <br /> a 007 <br /> e`/�-r Com/✓ /9r /r.�ipfL Consunant �� /l�fl��7 �A1Z `��L✓� S� 9 '�7 <br /> o <br /> Matrix Preservation E3 Method o}shipment <br /> N � - � � P <br /> E <br /> w .I I <br /> r; <br /> As 1i ef <br /> Soil Water Other Ice Add a Cluw e^3, <br /> a e <br /> 1py �El ��Sjy yg � y$sII <br /> Lmportwn <br /> 6/7r11 ire9 <br /> ,�4w�.ti 5-(P �- �l1/h3 (Z`t7 dot,.✓ <br /> Special QAIQC <br /> Remarks <br /> cX�l-033. 01 <br /> -- Lab number <br /> ST9v-07(01 <br /> Turnaround time <br /> Priority Rush <br /> I business Day [�] <br /> Condition of sample: Temperature received: <br /> Relinquished by sampler DateTime Ived CAW Rush <br /> 6r#/�3 5 Y S_ Rec y 2 Business Days L 7 <br /> Relinquished by Date Time lived by Expedited <br /> Days ❑ <br /> .e- � 9 s /o 5 Business <br /> Inquished by Efate Time Received by la r a Date Time Standard <br /> 12, <br /> .49 1i�•3s 10 Business Dayaxj <br /> Distribution: While copy—Laboratory;Canary copy—ARCO Envimnmantei Engineering:Pink copy—Consultant <br /> APPC-3292(2-91) <br />
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