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ARCHIVED REPORTS_XR0009700
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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7647
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2900 - Site Mitigation Program
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PR0505534
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ARCHIVED REPORTS_XR0009700
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Entry Properties
Last modified
3/31/2020 5:13:40 PM
Creation date
3/31/2020 4:58:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009700
RECORD_ID
PR0505534
PE
2950
FACILITY_ID
FA0006840
FACILITY_NAME
TOSCO SUPER T MARKET
STREET_NUMBER
7647
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
07748014
CURRENT_STATUS
02
SITE_LOCATION
7647 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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• 0 r i <br /> AMERICAN AMERICAN ANALYTICS CHAIN-OF-CUSTODY RECORD - <br /> 9765 ETON AVE, CHATSWORTH, CA 91311 DATE -3 G <br /> AHALrTICS (818) 998-5547 (818) 998-5548 1-884-533-TEST 1-800-533-8378 FAX (818) 998-7258 PAGEQF 2 <br /> AA Clens <br /> t 01 f o, EKLIO-V76076Naame�s -hk <br /> Project Manager tP O No Sampler's <br /> X11 '� - 1 Signature4h� �. <br /> Project Name Project No Project Manag <br /> LIC No . 11Signature <br /> To C- \[.o ANALYSIS REQUIRED <br /> .lob Name Detection <br /> and <br /> Address <br /> Limits <br /> /A)�.z // / / // <br /> Address <br /> Test Test Requirements <br /> A Acunt a NLwnber Name <br /> LD# tp Date TimeType of <br /> Containers <br /> -I--L S'lle1quA SOLL f x -rn T r��.. li <br /> (�929 v►1-z-XIF Y, NOk <br /> 46999 V -1-J0 ,se,01 w6ti c,41 <br /> { r e <br /> (� Ww- r e <br /> w-11- 10 <br /> G H A4 w-1 -3 0 I k <br /> 4fo4S 4i w-1 - X <br /> W96 1- d X <br /> 011V —AK <br /> 11 Do - s X 7C <br /> Wqo/ V � + x <br /> Ct bq0 2. Ili w - �-u X �c <br /> BAYPLE la ff— AIT7-TO BR FILLED 17V BY RWIUVMG LAB R by Date 71f" R pd b <br /> samples kltactYee No Y� / . <br /> 9affq as Properly Cooled Yes No Vfial� by V Date Tree Received by <br /> Sanplea Accepted Yea No <br /> 11 Not Why Flokw ie od by Date Time Received by- <br /> AA Project No 7" Rek>piehed by Date Time Received by <br /> 3� 1 -f � <br /> DISTRIBUTIOM White - Laboratory, Canary - Laboratory Pink - Account Executive, Gold - Glent <br />
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