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ARCHIVED REPORTS_XR0004265
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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ARCHIVED REPORTS_XR0004265
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Entry Properties
Last modified
3/12/2020 7:29:06 AM
Creation date
3/11/2020 8:33:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004265
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
Tags
EHD - Public
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Utility District <br /> East Bay Municipaly <br /> Laboratory Services Chain of Custody Record <br /> Prelog or Project Title Client PM Sampled by KELLY REILLEY <br /> Login No L8660 Tel No. <br /> Account or Project 8940 Lab PM Sample Date 14-NOV-94 <br /> Lab Sample Sample Check No Comments/ <br /> No Type Time Site Locator Matrix C P Cont Tests Required Remarks <br /> L8660-1 GRAB 14 05 W STOCTON MW 1 GroundH20 3 8020 Stockton Qtly Monitoring <br /> GroundWO 4 +REPORT•GASOLTNE <br /> La660r2 GRAB 15 30 RMN} STOCTON MW 8 Graun&QG 3 8020 Stockton Qtly Monitoring <br /> GroundH20 0 GASOLINE <br /> LEMO.3 _ GRAB 14 00 RM STOG'FOR MW 9 Groundkl2() 3 8020 Stockton Qtly Monitoring <br /> GewndkW 0 GASOUNE <br /> L.8660-4 QCFR 14;00 RM S'FO.`E'fl6! MW 9 GroundW 3 8020 Field Replicate to be sent to AN <br /> Ground1W 0 GASOLINE <br /> Lew-S QCTB 00 00 RNA SIO", MISC GrwodKO 1 8020 Trip QC Stockton Qtly Monitorin <br /> LBM-6 GRAB 15 30 RW$TOC ON MISC GroundRQ 3 8020 Duplicate Stockton Qtly Monitor <br /> GroundF*D 0 GASOLINE <br /> Signature Print Name Time Date <br /> Type Codes CF0I,CF02,CF03,CFV,CCMP,CT01,C702,CT03 <br /> Reli2quished by CT04,CTOS,CT06,CT07,CTOB,CTV,GRAB <br /> Check C = Appropriate Container Type Verified (Y/N) <br /> Received by w r Check P � Appropriate Preservation Verified (Y/N) <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> Received by y <br />
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