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ARCHIVED REPORTS_XR0003196
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0541693
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ARCHIVED REPORTS_XR0003196
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Entry Properties
Last modified
2/6/2020 12:51:39 PM
Creation date
2/6/2020 10:29:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003196
RECORD_ID
PR0541693
PE
2960
FACILITY_ID
FA0023897
FACILITY_NAME
TOYOTA TOWN INC
STREET_NUMBER
610
Direction
N
STREET_NAME
HUNTER
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13906033
CURRENT_STATUS
01
SITE_LOCATION
610 N HUNTER ST
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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SunStatkoratories Inc Chain of C ody Record � --� <br /> 3002 Dow Ave , Ste 212 J <br /> Tustin, CA 92780 <br /> 714-505-4010 <br /> Client_� 1�� Hl��f,tnrt' —Lri E _ Date _ ©3�3©(e, _ Page Of <br /> Address 111 A l _n Protect Name y <br /> Phone 2Z9 -S19- 7_2_2J Faxes 5'7�- Z � Collector MeA <br /> 063--s Client Protect#_54-649610001 <br /> Protect Manager 0,W, ewe Batch# EDF## <br /> C cn <br /> U <br /> O C L <br /> o N N <br /> XQ7 -0N C <br /> 0 E - m °' CU <br /> C <br /> 0 w can to o I o a <br /> H H <br /> + m m o <br /> Sample Container 0 0 0 0 n Lr) Ln a o <br /> Sample 10 Date Sampled Time Type Type N N N 04 0 0 cD � Comments/Preservative <br /> 1 Q eAN b I yof I-qu A00 <br /> 62 &Wa�3 <br /> a o l <br /> - 2. 10,414 1 <br /> Relinquished by (signature) Date 1 Time Received by (signature) Date 1 Time Total#of containers Notes <br /> �"'"1`- 4t�SeC? � vk X3'1-�1(n (sem Chain of Custody seals YlIVINA K P, <br /> Relinquished <br /> by (signature) / Date 1 Time Recee ed by signature) Da I Time Seals intact?YININA rp1�3 <br /> evt C 3 Z T {' Z' f I �'' �' `—' �� Received good condition/cold �1 r�� <br /> Reli quished by (signal re) Date!Time Received by (signature) Date!Time Ya l4j t,Z D�,,� � cb <br /> ]Turn around time �AN <br /> Sample disposal Instructions Disposal r@$2 00 each return to client Pickup <br />
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