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ARCHIVED REPORTS_XR0002845
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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3555
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3500 - Local Oversight Program
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PR0545252
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ARCHIVED REPORTS_XR0002845
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Entry Properties
Last modified
1/31/2020 3:10:27 PM
Creation date
1/31/2020 11:41:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002845
RECORD_ID
PR0545252
PE
3528
FACILITY_ID
FA0002232
FACILITY_NAME
QUIK STOP MARKET #3132*
STREET_NUMBER
3555
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
071-180-20
CURRENT_STATUS
02
SITE_LOCATION
3555 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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Pleasanton,CA 94588 CHAIN OF CUSTOD ORM <br /> Main Line: (925)460-5300 <br /> Ar- SOC LATES INC . Facsimile: (925)463-2559 Turnaround 10 day _3 day 2-8 hr <br /> Project Name: c4, 132 Client: ()"ky _ ;+eto A(ke-+ Time: X7 day 2 day other <br /> Project Number: :15. 6250112-0:1 Task: l 5 day 24 hr ( ? <br /> Global I.D.: �Q 6o 7777 Q4 4 4 W <br /> Project Address: 2555 West "nvyt~ la"o- �� SSO� <br /> Laboratory: .STL Chromes lie h Contact: V ir)(-40 F c'c. Analyses Requested <br /> Lab Address/Phone: fax p GAfn, (g,,,Qr. Pl San{�n Cg2S) 4-R - [919 m a <br /> ATC Project Manager: Sim tekrpnarl � <br /> ATC PM Ph. No.: 9( 25)225- `]g 1_.5 Email: e-hemnn 75 @atc-enviro.com � m _ Ui � <br /> ATC Sampler: SIA Phone: 925 225- g w c <br /> � r ~ o .0 a <br /> kL <br /> Sample Information Container Information w o ° u � � t• °- n <br /> fMatrix w Field Pt.I.D. -- In y -- a � F �m <br /> No. Type d Check if same as o = O O v p0a o <br /> ATC Sample ID Date Time sovapor � ' Sample I.D. � � W � _ � j a� � � a L Q ro j3!O 0 lA e- <br /> - 2 14MX X <br /> .3 MW - O <br /> `( Livy - 4 0-2140 <br /> - 5 ✓ <br /> W- T 110 <br /> `I hivv- 13 1010 <br /> ib MW- 10- j 1735 <br /> LE <br /> Additional Comments:--r-"Voice 04 rcHnvkE er- <br /> EDF Format V1 77 1 <br /> Relinquished By: Date/Time: 9,1210 7Received By: Date/Time' <br /> Relinquished By: DateMrne: eceived By: �} _ Date�me: <br /> Relinquished By: Datelrime: eceived By: Daterrime: <br /> Sample Condition.Good? Yesj/ No_ On"? Yes ✓No_ Cooler Temp Transportation Method: ({�� C1[' r c/.L Page 1_of <br /> White-Lab <br /> L'Aft,eve mor COC.-22-42 W revi..a 0~1 Yellow- Lab Pink-ATC <br />
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