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ARCHIVED REPORTS_XR0002906
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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3250
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3500 - Local Oversight Program
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PR0545251
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ARCHIVED REPORTS_XR0002906
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Entry Properties
Last modified
1/31/2020 10:10:01 AM
Creation date
1/31/2020 9:10:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002906
RECORD_ID
PR0545251
PE
3528
FACILITY_ID
FA0001877
FACILITY_NAME
AM PM HAMMER/I5 FOOD #83113
STREET_NUMBER
3250
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
08240009
CURRENT_STATUS
02
SITE_LOCATION
3250 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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w CM0D"LAftA MALRS MUM F(W T : <br /> Shaw EnvKental <br /> &Infrastructure,Inc. Purchase Order 206 5 <br /> 1326 North Market Boulevard,Sacramento,CA 95834 Lab CLS Labs <br /> Project Name Parkinson's Arco,Stockton Anal sty Re nested <br /> Global ID- 70607700906 <br /> 0 <br /> Project Number 8800401A o o <br /> Project Manager David Herzog v, w <br /> al o00 <br /> Company Shaw Environmental&Infrastructure,Inc <br /> _ W � <br /> Address 1326 North Market Boulevard U X w o� <br /> A <br /> Sacramento,CA 95834 0 40 <br /> A w <br /> Dir Ph (916)565-4377 I F 366 <br /> A � GW4 W A <br /> Sampler's Signature �! <br /> I . , - %- -If ZREMARKS <br /> Sample LAB ample 1 Container Types <br /> I D D to Time I D Matrix HCl Preservations <br /> MW-1 j0 Zi 4/O Water 4 4 <br /> MW-2 bgff Water 4 4 <br /> MW-3 M..f Water 4 4 <br /> MW4 vf--f Water 4 4 <br /> MW-5 Water 4 4 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I Routine Report <br /> S1Signature Signature Signature A hr 48 hr 5 day H Report(includes DUP,M5 <br /> X Standard(-10 15 working days) MSD,as required,may be <br /> PrinWAName ,,! i Punted Name Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> Provide FAX Preliminary Rau€ts M Data Validation Report <br /> Firm Firm Perm Firm Requested Report Date (includes All Raw Data) <br /> RWQCB <br /> Date/Time /0&104( ate/Time Date/time Date/Time (MDLs/PQL&(TRACE#) <br /> RELINQ SHED B RECEIVED BY Special Instructions/Comments Container Types Key <br /> 40 ml VOA i <br /> Signature Si ature Need EDDs for GeoTracker CLS Labs 250 ml LPE 2 <br /> Da�►cl[lcrzo�sliaWjztp cam 3249 Fitzgerald Road 500 ml LPE 3 <br /> Pririted Name P ted am Reporting limit 5ppb for MTBE Rancho Cordova,Ca 95742 1 liter HDPE <br /> 1 Z-7 916-638-730111x 638-4510 500 ml glass <br /> Fin'' Furst Contact Ray Oslowskt 1 later glass F <br /> 2x6 s/s ring 7 <br /> Oate/Time Date/Timc 7(— glass jar 8 <br />
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