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ARCHIVED REPORTS_XR0003146
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545309
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ARCHIVED REPORTS_XR0003146
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Entry Properties
Last modified
2/11/2020 10:22:03 AM
Creation date
2/11/2020 9:16:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003146
RECORD_ID
PR0545309
PE
3528
FACILITY_ID
FA0010339
FACILITY_NAME
H&H ENGINEERING CONST INC
STREET_NUMBER
212
STREET_NAME
INDUSTRIAL
STREET_TYPE
DR
City
STOCKTON
Zip
95206-3920
APN
17728019
CURRENT_STATUS
02
SITE_LOCATION
212 INDUSTRIAL DR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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2!5A an MCFMN.M-Cf9TfflV4ft <br /> , sem <br /> DATE J� _z_r.�� S PAGE OF <br /> KRAZAN & ASSOCIATES, INC Comments _REQUESTED ANALYSES = P o Number <br /> 215 WEST DAKOTA AVENUE u5 r ox nam <br /> CLOVIS, CA 93612 Ice Chest No <br /> (209) 348-2200 VOICE <br /> (209) 348-2201 FAX r Laboratory <br /> G N <br /> O � <br /> O A <br /> Project Name U o- m r <br /> Project No Q d�' (optional) a a H v m lab Quote No <br /> ° m E m a <br /> Sampler Name Report ;' a� a C? a o <br /> (Printed) ` , Attention y h v m [1 4 a °�+ a ,N Method of ShipmentlDelrvery <br /> °Lab Sample Krazan Date Time E :o E 6 o E E <br /> � � <br /> +I <br /> ' c � dafa-ID# Sample No Sampled Sampled Sample Description m 3 0m II is ° rz ° a- <br /> COo n 0 0 U) in I i-- P ui W Remarks <br /> rh 1 - c�' L..> <br /> (.w — 5' m b- — w fx <br /> -3 w x x <br /> :mss <br /> Signature Printed Name Date Timetainers <br /> Sutxnitled to Le6orto Company Name u °°' ° °fatoa <br /> Relinquished b '-4 e—2_5 9 I y2s, m pm Turn Around Time <br /> Received b (�G'r �,� Pm (Circle Choice) <br /> [Relinquished by am Pm <br /> 24 Hrs 48 Hrs <br /> Received by am pm <br /> Rlshed behn uam pm Days 10 Days <br /> Received for Laborato b w am pm As Contracted <br /> White-Lab Yellow-Project File Pink-C 0 C Binder COCa VSD 6-23 98 <br />
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