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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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EHD - Public
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Chain of Custody Number: <br /> Stantee Chain-of Custody Record <br /> Field Office: 077 Sacramento D 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 /> a d <br /> Laboratory Kiff Analytical w <br /> w � N <br /> Turnaround Time Standard m a E m d o <br /> _ m <br /> LLl b N U() � Q V Ol �' N N N 0 <br /> Sampler's Name �JA/�z �� w w = a > °'c' o m <br /> F F a w rn m c o v w (L Q o <br /> Sampler's Signature m m ; b " N „ N d o o r- m,4 N w w <br /> x 2 2 Q a o N m - o `O E S Q 00 N 10 p p Comments/ E <br /> Sample I Date Time Matrix � w a > z �n (0 ° w o. 2 1.- Instructions z <br /> SV-INF Air X <br /> SV-INF2 Air X 1 0� <br /> SV-INF3 Z' Air X 1 C� <br /> SV-INFCOMB C�i7'G1_; 2;.�5 Air X 1 l� <br /> Special Instructions/Comments Relinquished b Received by: Sample Receipt <br /> 5 Oxygenates: MTBE, DIPE, ETRE, TAME, TBA SignSign Total no.of containers: <br /> (1�ftection Limits: 0.5 pg/L, 5.0 NgIL for TBA) Prin Print — Chain of custody seals: <br /> MMals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc G66pany S iii✓f.-� Compa Rec'd in good condition/cold: <br /> cP Time f DateCSZ"_3 e Date Conforms to record: <br /> ESR Deliverables Relinquished by: Received by: <br /> errrail results and EDF to: Sign Sign Client: Stantec <br /> A.lawson(a)stantec.com Print Print Client Contact: Brian Goss <br /> brian.gossAstantec.com Compa Company .c Client Phone: (916)384-0779 <br /> T Date Time ate <br /> Date: Page 2 of 2 <br />
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