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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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McCam o1 Analytical Inc. <br /> 110 Second Avenue South,#B7 CAIN-OF-CUSTCODY RECORD Page 1 of E <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder. 0204383 <br /> Client <br /> Advanced GeoEnvironmental TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Sierra Lumber <br /> PO 24-Apr-02 <br /> Requested Tests <br /> Sample ID ChentSamplD Matrix Collection Date Bottle 8021BIB015 <br /> {0204383-001 INFLUENT Air I 4123102 9 10 00 AM j A <br /> 0204383-002 EFFLUENT Air -4123102 9 08 00 <br /> Comments <br /> — Date/Time — -- DatelTime <br /> Relinquished by Received by <br /> Relinquished by: _ Received by. - <br /> Relinquished by Received by- <br /> NOTE <br /> yNOTE 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-liter V-Voa S-Soil Jar 0-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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