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ARCHIVED REPORTS_XR0002909
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_XR0002909
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Entry Properties
Last modified
1/31/2020 10:14:55 AM
Creation date
1/31/2020 9:13:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002909
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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HTM o s'%YM1kB8AT A YWR�ftS1T0R1r M � <br /> Shaw Enviromktal&Infrastructure,Inc. Purchase Order 2067 <br /> 1326 North Market Boulevard Sacramento CA 95834 Lab CLS Labs <br /> Project Name Parkinson's Arco,Stockton Anal is Requested <br /> Global ID. T0607700906 ., <br /> 0 <br /> Project Number 8800401A/01060000 c <br /> Project Manager David Herzog , <br /> Company Shaw Environmental& Infrastructure,Inc. 2 w N <br /> Address 1326 North Market Boulevard <br /> Sacramento,CA 95834 a A <br /> Dir Ph (916)565-4377/ F (9.16)56 4356 F- <br /> .o C7 W <br /> r'7"w <br /> Sampler's Signature Z REMARKS <br /> Sample LAB Sample t Container Types <br /> ID Date Time ID Matrix HCI Preservations <br /> MW-1 Water 4 4 <br /> MW-2PWater 4 4 <br /> MW-3 Water 4 4 <br /> MW-4 Water 4 4 <br /> MW-5 Water 4 4 <br /> RELINDISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I Rounne Report <br /> Sign Sl a Signature Signature 24 hr 46 hr 5 day II Report(includes DUP,MS <br /> X Standard(-16.15 working days) MSD,as required,may be <br /> Prin ami Pr ed Name Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> .L II rl e1 Pmvide FAX Preliminary Results III Data Validation Report <br /> Firm Firm l Firm Firm Requested R"Ti Date (Includes All Raw Data) <br /> RWQCB <br /> Dater ime j+) Date/Time }-j -0 053$ Date/Time Date/TimeLs/P LsMI ACE4 <br /> {MD Q ) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments Container Types Key <br /> 40 ml VOA 1 <br /> Signattire Signature Need EDDs for GeoTracker CLS Labs 250 ml LPE 2 <br /> 3249 Fitzgerald Road 500 mi LPE 3 <br /> Printed Name Printed Name Reporting limit 5ppb for MTBE Rancho Cordova,Ca 95742 1 liter HDPE 4 <br /> 916-638-7301/Fx 638-4510 500 ml glass 5 <br /> Firm Firm Contact Ray Oslowskl I liter glass 6 <br /> 2x6 s/s ring 7 <br /> Dawrime Date/Time glassjar 8 <br />
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