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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545493
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Last modified
3/12/2020 8:38:52 AM
Creation date
3/11/2020 8:19:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545493
PE
3528
FACILITY_ID
FA0009460
FACILITY_NAME
Stockton Center - EBMUD
STREET_NUMBER
1804
Direction
W
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
14505027
CURRENT_STATUS
02
SITE_LOCATION
1804 W MAIN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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-M e <br /> S A M P L I N G R E P O R T / C H A I N - O F - C U S T O D Y <br /> Account Name : Si6C,kt-C-.' Vaal. W Mc"`` `rt'"`� DATE q-1 - `i c) <br /> Station I .D. : STC K 02 Account No. <br /> Rep: KLt= Q,d� � CyaA DAY( S ) M T W (�T F S S <br /> zns: NJM E. <br /> AUTO SAMPLER INFORMATION <br /> Sampler <br /> START COMPOSITE BOTTLE # ' S Settings <br /> ( if un <br /> SS# Date Time gott # w/sample used usual ) <br /> CHAIN OF CUSTODY INFORMATION Collected <br /> by <br /> Initial <br /> Samp Samp # of Date <br /> Lab Number SS# Analyses Requested Type Mtrx Bott Time <br /> 9000113�0 + 8O IS C3 T 1E x E GW M3 <br /> 9 -2v-9 <br /> Comments : S r'ck0 �- <br /> 1 f0 `� <br /> Comments : <br /> F-1 <br /> Comments : <br /> Comments : <br /> Comments : <br /> L-2c�-9 0 l SL(o Sym <br /> Relinquished by Date/Time Acce ed by Date/Time <br /> Sample Type Codes: E=Hand Grab, F=Hand Grab Comp, G=Auto Grab, H=Autocomposite <br /> Sample Matrix Codes: Aqueous, SLudge, GV=Ground Vater, Soil, PEtroleum, OTther <br />
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