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ARCHIVED REPORTS_XR0007983
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0522692
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ARCHIVED REPORTS_XR0007983
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Entry Properties
Last modified
4/2/2020 4:57:08 PM
Creation date
4/2/2020 4:20:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007983
RECORD_ID
PR0522692
PE
2957
FACILITY_ID
FA0015465
FACILITY_NAME
FORMER MONTGOMERY WARDS AUTO SRV CTR
STREET_NUMBER
5400
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10227008
CURRENT_STATUS
01
SITE_LOCATION
5400 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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�■■■� t�11 ■�li �■■� 1w■ i i i111111111111111111FVl 1 /� PAGFI) I <br /> EIWIRONNIENTAL AC1DJ'T,' INC. o Chain of Custody Record <br /> Plannt%Enwronwntal Analyses and Hazardous <br /> Substances Management and Remediawn SAMPLING REOU(REMENT$ RCRA❑ NPDES❑ $OWA® Q <br /> WRITTEN OC REPORT TURNAROUND TIME <br /> 1000 ORTEGA WAY, SUITE A It (714) 632 - 8521 ROUTINE OC <br /> PLACENTIA, CA 92670-7125 FF—Ax] (714) 632 - 6754 RWOCB OC❑ SAME DAY❑ 24hr❑ 48nr❑ NORMAL <br /> PROJECT NO PROJFCT NAME Montgomery Wand CONTR <br /> 1 232 TYPE ANALYSES REQUESTED REMARKS <br /> 5400 Pacific Av,Stockton w <br /> ' � z <br /> SAMPLER(9gmture with Panted Name) PROJECT MANAGER F- <br /> �� Frank Maramoto a p O Call Chris d Sa @ext 233 <br /> ° m LU `' at EAE If any questions <br /> Ln Ln _ LL <br /> E <br /> i Q m ) 00 o N rr <br /> CO Q3 COfVU <br /> SAMPLE NUMBER DATE ME V SAMPLE DESCRIPTION 0.7 pad O <br /> TIO �qqS <br /> �` 4 M M Il F- m w <br /> MW-420 .7Water <br /> 95 ( <br /> MW-520 Ala Water <br /> TOTAL NUMBER <br /> OF CONTAINERS <br /> REUNOUISHED BY 19gnature/nlame) DATE/TIME REXCEI 8Y t re1Na eV REUN 19grtp[l�re/Name) DATE/TIME RECEIVED BY pgnaturelN e) <br /> ?1 <br /> REV QUISHEDBY 19gnaturelNaft e) » DATEITIME R(CEIVED BY (9gna[ure/Na e) REUNOUISHEP B?-�S nature/Name) DATE/TIME RECEIVED BY )Signature/Name) <br /> SHIPPED BY (9gnature/Name) COURIER )Signature/Name) RECEIVED I-OR BY (Slgnature/Name) DATE/TIME <br /> PLESSHIPPED VIA <br /> FEDEX ❑ UPS ❑ AIRBORNE ❑ <br /> HAND AIRFREIGHT ❑ ❑ NRQILL# LAB BC Analytical <br />� an rnw[otaas <br />
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