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ARCHIVED REPORTS_XR0003758
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HAZELTON
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375
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2900 - Site Mitigation Program
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PR0540905
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ARCHIVED REPORTS_XR0003758
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Entry Properties
Last modified
2/3/2020 9:55:07 PM
Creation date
2/3/2020 9:00:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003758
RECORD_ID
PR0540905
PE
2960
FACILITY_ID
FA0023406
FACILITY_NAME
SIERRA LUMBER MANUFACTURERS
STREET_NUMBER
375
Direction
W
STREET_NAME
HAZELTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
147120808
CURRENT_STATUS
01
SITE_LOCATION
375 W HAZELTON AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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McCampbell Analytical Inc. CHAIN-OF-CUSTODY RECORD Page S of 1 <br /> 110 Second Avenue South,#D7 <br /> Pacheco,CA 94553 5560 <br /> (925)798-1620 WorkOrder 0209183 <br />� I <br /> Client <br /> Advanced GeoEnvironmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Sierra Lumber <br /> PO 12-Sep-02 <br /> Requested Tests- - 1 <br /> Sample ID ChentSamplD Matrix Collection Date Bottle8021BI1301577- <br /> 0209183-001 F—INFLUENT---F Aar 9111142 1144 00 AM_ A -- <br /> 0209183_002 EFFLUENT - Air - 9111102-11 40 00 AM <br /> Comments <br /> -- _ - — - - Date/Time --- --- - - ------ <br /> - ----- ------- --- Date/Time -- <br /> Relinquished by - _ _ _ Received by <br /> Relinquished by, - _ - __ - Received by <br /> Relinquished by- _- __ Received by <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br /> Bottle Type L-Llter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br /> I <br />
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