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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: ` 6,55j2 <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 <br /> Turnaround Time Standard m a Cn � m m o <br /> LU w .T y U O x CDN I Lo <br /> Sampler's Nam X o 2 a o 0 o (9 R m � a ° _v <br /> LU w x ,� a.w > rn m c o v w a a <br /> Sampler's Sign m C o w o 'I _ ° f- C4 w w ° <br /> rn 2 @ <br /> o a W - 'mWr Co <br /> mWx y <br /> Comments/2 E , O O E <br /> CL ; w N °ime atrixxx2a o � a 'Sample ID Date Is 41 (0 Instructions z <br /> SV-INF Air X <br /> 1 <br /> SV-INF2 /5/2 X70 Air X 1 <br /> SV-INF3 04- Air X <br /> 1 (D <br /> SV-INFCOMB 4., Iwo Air X 1 `� <br /> Special Instructions/Comments Relinquished by: Received by Sample Receipt <br /> 5 Oxygenates: MTBE, DIPE, ETBE, TAME, TBA ign 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 Recd in good condition/cold: <br /> Time & IS Date 7.y_�-S Time Date Conforms to record: <br /> EDF Deliverables Relinquished by: eceived by: <br /> email results and EDF to: Sign Sign ,, Client: Stantec <br /> co erik.lawsonCcDstantec.com Print Print , . Client Contact: Brian Goss <br /> brian.goss(a-)stantec.com Company Company �' �— Client Phone: (916)384-0779 <br /> o Ti Date Time Date <br /> w <br /> N <br /> Date: Page 2 of 2 <br />
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