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ARCHIVED REPORTS_XR0002913
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_XR0002913
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Entry Properties
Last modified
1/31/2020 10:28:48 AM
Creation date
1/31/2020 9:19:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002913
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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� "Va MCdW OWUS'DYTABINATr AR,M xAItEMPOM ` ` V%�M � <br /> Shaw Environmental&Infrastructure,Inc Purchase Order 206765 <br /> 1326 North Market Boulevard,Sacramento,CA 95834 Lab CLS Labs <br /> Project Name Parkinson's Arco,Stockton Analysts Requested <br /> Global ID- T0607700906 <br /> Project Number 8800401A/01060000 cw <br /> o <br /> Project Manager David Herzog w <br /> Company Shaw Environmental&Infrastructure,Inc R o <br /> Address 1326 North Market Boulevard <br /> Sacramento,CA 95834 w <br /> Dir Ph (9t6)565-43671 FPi <br /> 416)565-4356 ° u? A H <br /> Sampler's Signature 60'4m" a px„ <br /> P �E REMARKS <br /> Sample LAB Sample 1 Container Types <br /> ID Date Time ID Matrix xCl Preservations <br /> MW-1 Water 4 4 <br /> MW-2 lD Water 4 4 <br /> MW-3 33 Water 4 4 <br /> MW-4 Water 4 4 <br /> MW-5 Water 4 4 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X 1 Routine Report <br /> Sign Signature Signature Signature 24>u 49 lu 5 day H Report(includes DUP,MS <br /> WL14 X Staedud(--14.15 working days) MSD,as required,may be <br /> Prmt amu J�/}_� Printed Name Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> 1.- C7/V Provide FAX PreGmrnxyResults III Data Validation Report <br /> Firm Firm Firm Firm <br /> Requested Report Date (includes All Raw Data) <br /> ERWQCB <br /> Date/Tun eft Date/Time Date/Time Dake/Tmie <br /> (MDLs/PQLsM1ACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments Container Types Key <br /> 40 m1 VOA 1 <br /> Signature S re A Need EDDs for GeoTracker CLS Labs 250 ml LPE 2 <br /> 443249 Fitzgerald Road 500 ml LPE 3 <br /> Printed Name Printed Name Reporting limit 5ppb for MTBE Rancho Cordova,Ca 95742 I liter HDPE 4 <br /> 916-638-7301/Fx 6384510 500 rnl glass 5 <br /> Finn Firm G Contact Ray Oslowski 1 liter glass 6 <br /> 2x6 s!s ring I <br /> Date/Tune Date/Timeq— 0 jJ giassJar g b <br /> 7° <br />
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