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ARCHIVED REPORTS_XR0002914
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_XR0002914
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Entry Properties
Last modified
1/31/2020 10:33:43 AM
Creation date
1/31/2020 9:20:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002914
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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MMCB 0P1P7S1ftYP@KBM&T ABLY§RRMftSMRR8 s <br /> Shaw Envlronsal& Infrastructure,Inc Purchase Order 4r <br /> 1326 North Market Boulevard,Sacramento,CA 95834 Lab CLS Labs <br /> Project Name Parkinson's Arco,Stockton Analysis Requested <br /> Project Number 8800401A/01060000 <br /> Project Manager David Herzog a <br /> o <br /> Company Shaw Environmental&Infrastructure,Inc W <br /> Address 1326 North Market Boulevard E� c <br /> Sacramento,CA 95834 c " 0O <br /> Dir Ph (916)565-4367/ F (916:)5657- 56 � a <br /> o A <br /> Sampler's Signature C7 w <br /> x <br /> REMARKS <br /> Sample LAB Sample 1 Container Types <br /> I D Date Time ID Matrix HCI Preservations <br /> MW-1 {_2 03 Water 4 4 <br /> MW-2 Water 4 4 <br /> MW-3 137 Water 4 4 <br /> MW-4 IO Zi Water 4 4 <br /> MW-5 J, 10'* Water 4 4 <br /> RELINQUISHED BY RECEIVED BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X 1 Routine Report <br /> Sign St g t Signature Signature 24 hr 48 hr 5 day II Report(includes DUP,MS <br /> X Stmdard(-10 15 working days) MSD,as required,may be <br /> P n d Nam Printed Name Printed Name Printed Name Provide Vert,al Prehminary Ra alts charged as samples) <br /> v t— s�lN�/¢QIT Provide FAX Preliminary Results III Data Validation Report <br /> Fitt;, Firm Firm Firm Requested Repon Date (Includes All Raw Data) <br /> s RWQCB <br /> Date/Time !-2-q3 Date/Time I Ip Date/Time Date/Time (MDLs/PQLs/TRACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments Container Types Key <br /> 40 ml VOA I <br /> Signature Signature Need EDDs as required by the RWQCB CLS Labs 250 ml LPE 2 <br /> 3249 Fitzgerald Road 500 ml 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 6384510 500 ml glass 5 <br /> Firm Firm Contact Ray Oslowski 1 liter glass 6 <br /> 2x6 s/s ring 7 <br /> Date/Time DawMrre glass Jar 8 <br />
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