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ARCHIVED REPORTS_3Q13 QSSR QRSR QMR
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0527031
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ARCHIVED REPORTS_3Q13 QSSR QRSR QMR
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Entry Properties
Last modified
3/4/2020 1:52:18 PM
Creation date
3/4/2020 11:55:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
3Q13 QSSR QRSR QMR
RECORD_ID
PR0527031
PE
2957
FACILITY_ID
FA0018318
FACILITY_NAME
FORMER COLUMBO / TOSCANA BAKERY
STREET_NUMBER
1444
Direction
S
STREET_NAME
LINCOLN
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16503005
CURRENT_STATUS
01
SITE_LOCATION
1444 S LINCOLN ST
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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Chain of Custody Number: S6S52- <br /> Stantee Chain-of Custody Record <br /> Field Office: 077 Sacramento Q Additional documents are attached, and are part of this Record. <br /> Address: 3017 Kilgore Road, Suite 100 Job Name: Parcel 2A <br /> Rancho Cordova, CA Location: 666 West Weber Avenue <br /> Stockton, CA <br /> Project#s 211602385.600.0800 Task# Analysis Request <br /> Project Manager Dan Schreiner <br /> N <br /> Laboratory Kiff Analytical w N <br /> Turnaround Time StandardCn m a m o <br /> LU .� N U <br /> CD <br /> O m <br /> � N <br /> �Sampler's Nam X 02 a o cR a <br /> Q °NQ <br /> _v <br /> a > ww °Sampler's Sign N 2 <br /> rno Ch -0 o x w am) C) � <br /> X x x Comments/O E <br /> imatrix ; woa ) ° wSample ID Date � (0 (0 U) � a 2 <br /> Instructions z' <br /> SV-INF -7- Air X <br /> 1 <br /> SV-INF2 /ytj Air X 1 <br /> SV-INF3 04- Air X <br /> 1 (D <br /> SV-INFCOMB wzq Air X 1 `� <br /> Special Instructions/Comments Relin uished by: Received by Sample Receipt <br /> 5 Oxygenates: MTBE, DIPE, ETBE, TAME, TBA _"S' -:5ign Total no.of containers: <br /> (Detection Limits: 0.5 pg/L, 5.0 pg/L for TBA) P Print Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc Company Company Rec'd in good condition/cold: <br /> Time IS Date 7.y_�-S Time Date Conforms to record: <br /> EDF Deliverables Relinquished by: eceived by: <br /> ca email results and EDF to: Sign Sign �A t'c,�& ��^ Client: Stantec <br /> m erik.lawsonRstantec.com Print Print ,�. Client Contact: Brian Goss <br /> brian.goss(c�stantec.com Company Company �' �— Client Phone: (916)384-0779 <br /> Ti Date Time Date__023_Lf,;J_ <br /> w <br /> N <br /> Date: Page 2 of 2 <br />
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