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ARCHIVED REPORTS_XR0003763
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_XR0003763
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Entry Properties
Last modified
2/3/2020 9:37:43 PM
Creation date
2/3/2020 9:06:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003763
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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� ■� a' e•■n� � s i i i i i i i i � � � � <br /> Mccam pl Analytical Inc. • <br /> 110 Second Avenue South,#D7 CHAIN-OF-CUSTODY RECORD Page l of i <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0205439 <br /> Client <br /> Advanced GeoEnvuonmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Sierra Lumber <br /> PO 31-May-02 <br /> Requested Tests <br /> Sample ID ChentSamplD Matrix Collection Date Bottle 8021 B/8015 SW8260B <br /> 0205439-401— /WM 11 0530402 Water 5130102 12 04 00 PM A B <br /> 0205439-002 MW21053002 Water 5130142 1 17 00 PM A B <br /> 0205439-003 MW4a/053002 Water 5130102 1 08 00 PM A B <br /> 0205439-004 MW4b/053002 Water 5130102 1 28 00 PM A B <br /> 0205439-005 MW6/053002 Water 5130102 1129 00 AM A B <br /> 0205439 046 MW81053002 Water 5134142 1 44 00 PM A B <br /> Comments: Global ID#T0607700185 <br /> Date/Time <br /> Date/Time <br /> Relinquished by- Received by. <br /> Relinquished by.f _ 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 well be returned to client or disposed of at client expense <br /> Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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