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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LOWER SACRAMENTO
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7910
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3500 - Local Oversight Program
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PR0545441
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Last modified
11/29/2021 10:48:25 AM
Creation date
3/9/2020 2:37:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545441
PE
3528
FACILITY_ID
FA0003733
FACILITY_NAME
NORTH SIDE SHELL
STREET_NUMBER
7910
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
STOCKTON
Zip
95210
APN
07949006
CURRENT_STATUS
02
SITE_LOCATION
7910 LOWER SACRAMENTO RD
P_LOCATION
01
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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P_., �, _ _ .- fit_ -��wyn_ �—_. -� __--_...—�-• <br /> } <br /> CHAIN OF V_USTODY; ¢< BC,Iac/12?Asoecalary Arcnue <br /> -: ,-.....�., x fi x Sntte 2QO15ttnttyva(a,CA 94059 <br /> . ... . ; <br /> .. t (406)747 1414 498)745 1089 <br /> Turnarou�nd:Tilme.. ...: .: ,� .. : � . .:} . :.:..�►uenaon. �`C�'&E�.:.� t�G'c.W. . <br /> Project No. Site Name aW Addiess SaQp C°Oleyv ERS Melyseti Regneated:' -- 'Per RWQCB Ouidelinei <br /> mmer Lam Sac Swcicro.- ` <br /> Sampler: (signature) 0 0/J Com an No. « N <br /> �.z of <br /> Con- + A a C4 $p N o�p �3 Remarks <br /> .. - taineri 00 W a oe �• <br /> I� u°t ! ' o' �+ <br /> •Sample No. Data Time � � � Location of Sampec owl� �'; . <br /> tv <br /> Jr. yrtwZ• �g 3/r3 /yr /;7kJZ = 3 <br /> H"w.3- 3/,3 3h 3 I9 <br /> U S1 -r73C_ Dr S X <br /> r <br /> Relinquished 6y; (signatut ) Date Time Received by: (signature) P/5, <br /> / Company The following MUST be completed by tha laboratory scoepiag <br /> .amplea for analysis:', <br /> NA <br /> l) Have all samples received been stored on ica4 L-12f <br /> Relinquished by:(signature) Data Time Received/by: (signature) _ Company <br /> / / f/y 2) Did any VOA samples received have any head space?_/_P/(, <br /> Reis quished by:(signature) Date Time Received for LABORATORY by: (signature) 3) Were samples In <br /> appropriate containers and packaged <br /> properly? <br /> .......... . ... ... ... __ <br />
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