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ARCHIVED REPORTS_XR0002936
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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3202
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3500 - Local Oversight Program
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PR0545250
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ARCHIVED REPORTS_XR0002936
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Entry Properties
Last modified
1/30/2020 7:25:51 PM
Creation date
1/30/2020 4:07:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002936
RECORD_ID
PR0545250
PE
3528
FACILITY_ID
FA0001817
FACILITY_NAME
7-ELEVEN INC #35355
STREET_NUMBER
3202
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95209
CURRENT_STATUS
02
SITE_LOCATION
3202 W Hammer Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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• ! Page„ of <br /> 10 -6 bp <br /> Chain of Custody- Record On-site Time Tem <br /> A ote Pro ect Name 0 Z I r fl - Off-site Time Tem <br /> BP BU/(;ENI CO Poi tfolio Sky Conditions <br /> BP Laboiator; Contract Nuinber: Meteoroid ical Events <br /> Date Q t ( &2— V Requested Due Date(mm/dd/yy) rl`i �, �'r rr - 4 li' Wmd S eed Direction <br /> end ToBP/GEM Facility NoConsultant/Contractor URS <br /> lb Name SEQUOIA BP/GEM Facllt Address 3202 W HAMMER LANE,STOCKTON, CA Address 2870 Gateway Oaks Dr, Ste 300 <br /> ab Address 885 Jarvis Dr Site ID No 11193 Sacramento, CA 95833 <br /> Morgan Hill, CA 95037 Site Latl -trail EDD devise ee ur corp com <br /> lifomia Global 1D# 75 T0607700612 Consultant/Contractor Project No <br /> ab PM Laton a Pelt BP/GEM PM Contact Scott Hooton Consultant TeleiFax 916-679-23871916-679-2900 <br /> ale/Fax 408-776-96001 408-782-6308 Address Con sultant/Contractor PM VERN ELARTH <br /> e ort Tv e&gC Level Send EDF Reports linvoice to Consultant/Contractor or P/GEM { vvi,one) <br /> P/GEM 4ccount No 400-6-21124Tele/Fax BP/GEM Work Release No <br /> ab Bottle Order No Matrix Preservatives Requested Analysis <br /> u <br /> oo „ = wCC <br /> c a -o Op[—° g�p C¢p_7 om • �+Tc <br /> Sample Point Lat/L <br /> ong and <br /> em 10 Sample Description Time b Laboratory No m o F Comments <br /> in a C01 L <br /> Z oo UZ xn _ <br /> 2 4a✓14"r V X <br /> 326 932- <br /> 6 <br /> NJ V�.; 51' <br /> KW-1 l25f- x <br /> 8 f-viv- 1, L <br /> 9 mw-e6 l -� <br /> 10 LI vv <br /> aril lei's Name Rehn uiShed By/Affiliation Date ime Acce ted B /arrli n Date -T.-Me f <br /> and lei's Com an CL i (.� St'+."1 i La,S ` ! < 0 <br /> Ili meat Date <br /> iii went Method <br /> hi went Trackmn No <br /> ttecial Instructions Address Invoice to BPIGENT but send to URS for approval s J <br /> I <br /> ustodv Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt °FIC Tnp Blank Yes No <br /> ... nn r r � - _u ar_n_ n_„ renin ri■ r n_� r'+... �...- f...•rr^....•.....«... nn rnr n. t v�rm <br />
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