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ARCHIVED REPORTS_XR0005258
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545495
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ARCHIVED REPORTS_XR0005258
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Entry Properties
Last modified
3/10/2020 8:09:06 PM
Creation date
3/10/2020 4:32:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005258
RECORD_ID
PR0545495
PE
3528
FACILITY_ID
FA0006423
FACILITY_NAME
STOCKTON MOBIL 2
STREET_NUMBER
3440
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
3440 E MAIN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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720 Olive Drive,Suite D <br /> Davis,CA 95616 <br /> Lab:530.297.4800 <br /> ANALYTICAL rcc Fax:530.297.4803 Lab No. 1 Page of <br /> ProjV Managpk Cone o.: - zi 70 Chain-o#-Custody Record and Analysis Request <br /> Company Address. L F No.: r For Lab <br /> r�Zee. �invrfB'�vw2.k T� Lqf b 934 -217-2—Z Analysts Request use only <br /> Project Number. P.O.No.: Project Name: ii o W.F.T.(x) <br /> 1Y74, Z 22 N <br /> Projed Location: Sampl Si to 8 TOTAL Ix) <br /> 3�f�fD/tain ,5f S�ck& e� r <br /> w 0 co <br /> Container IN <br /> Method � 2 x s <br /> Sampling (Type/AmounQ Preserved Matrix 9 N N N <br /> z r <br /> 0 <br /> 0 3 � � N :t <br /> N m N N N <br /> Sample E W �, o Z _ _ a ¢ r <br /> O J J U z w 0 a 0. o 0 0 0 a a o <br /> Designation Data Time a W r z z v z m to f- to f- w W W <br /> -7 10 fs' q I 5 1 - Oy�� �►f <br /> — 32 <br /> 51io,-- 87 WA <br /> s rr i — 87X1 <br /> I <br /> Relingui d y: Date Time Received b : Remarks: — — <br /> /ll? <br /> Relinquished by: Date Time Received b Email address: <br /> ❑.doc ❑.xls ❑.txt ❑other <br /> Relinquished by: ate Time Received by Laboratory: Bill to: <br /> lolglb tll}rW"�ON t hi Joe A I d A5 <br /> Dlsidbutbn: lNAffe-Lab,Yeffaw-Me,Pink-Orlglnefor COC.fhS{9198) <br />
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