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ARCHIVED REPORTS_XR0003806
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HAZELTON
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2900 - Site Mitigation Program
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PR0540905
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ARCHIVED REPORTS_XR0003806
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Entry Properties
Last modified
2/3/2020 10:07:49 AM
Creation date
2/3/2020 9:19:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003806
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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McCamp ell Analytical, Inc. CHAIN-®F-CUSTODY RECORD Page I or 1 <br /> 110 Second Avenue South,##D77 <br /> 4jPacheco,CA 94553-5560 <br /> (925)798-1620 WDrkOi der 0405226 ClientlD AGES <br /> Report to Bill to Requested TAT 5 days <br /> Tim Cuellar TEL (209)467-1006 Accounts Payable <br /> Advanced GeoEnvironmental, Inc FAX (209)467-1118 Advanced GeoEnvironmental, Inc <br /> 837 Shaw Road ProlectNo Sierra Lumber 837 Shaw Road Date Received 5114104 <br /> Stockton, CA 95215 PO Stockton, CA 95215 DatePnnted 5114104 <br /> Requested Tests{See legend below] <br /> Sample 1D GiientSamplD Matrix Collection Date Hold___.1 2 3 4 5 6 7 8 9 10 11 1213 14 15 <br /> 0405226-002 AW5-20 Sod 5113104 9 45 00 AM ❑ A A A <br /> 0405226-003 AW5-25 Soil 5113104 10 00 00 0 A A <br /> 0405226-005 AW5-35 Soil 5113104 10 25 00 ❑ A A <br /> 0405226-006 VW6-15 Soil 5113104 12 40 00 ❑ A A <br /> 0405226-007 VW6-20 _ Soil 5113104 12 45 00 ❑ A_ A <br /> 0405226-008 VW6-25 Soil 5113104 12 50 00 ❑ A A <br /> I <br /> I <br /> I <br /> Test Legend <br /> 1 5-0XYS_S 22 G-MBTEX_S �3 PREDF REPORT 4 g <br /> 6 l ' l { tet g 10 <br /> 11 7 1121 13� 14 15 <br /> Prepared by. Melissa Valles <br /> Comments <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposeo of at client expense <br />
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