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ARCHIVED REPORTS_XR0005894
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0545610
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ARCHIVED REPORTS_XR0005894
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Entry Properties
Last modified
9/24/2020 12:59:36 AM
Creation date
4/24/2020 4:14:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005894
RECORD_ID
PR0545610
PE
2952
FACILITY_ID
FA0003920
FACILITY_NAME
JKC TRUCKING INC
STREET_NUMBER
3400
STREET_NAME
NEWTON
STREET_TYPE
RD
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
3400 NEWTON RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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01vanced <br /> CHAIN OF CUSTODIDECORD <br /> Gco�nvironmental Inc Date 46z -?J Page -of <br /> 4005 North Wilson Way Slocklon,Galrrorma 05205 (200)467 ING Fax(209)467 1110 <br /> Clientr Project Manager <br /> ML <br /> Oft 1�Ul(,k �_l �S �- "-Ckl4 G G11 Tests Required <br /> PhoneneJNuQm6er <br /> Samplers (Signature) ;� Invoice <br /> Project Name � , it� �,� / y AGE <br /> %t7 Client <br /> MOt9 Irutc,�C ����5 � S-tDc�.-ro,�� O <br /> Sample Type Q <br /> Sample Location <br /> comp crab Air Cents <br /> -- No of <br /> Data I[file WFIGr tSoled �` Q <br /> Number Description - — <br />�2- r 0I <br /> pe <br /> z - 5S <br /> 5-20pli, <br /> 4 YbAS <br /> (%yo it/qt 904L,L <br /> J / _ X <br /> 3 �, 2,q (A O j i` to/time <br /> I�n nl ,qui is,1��. gnalurc� FiD(�crr[/vci ICY SI,gr-tui r�!✓ '` <br /> L (P 7 l" <br /> nal uislied by (Signature) I ocelvdd by (5igrialure) Dole/Time <br /> nelinquished by (S,gnatuic) Received by Mobile Laboialory For held analysis (Signalule) Dale/Time <br /> I <br /> Dispatched by (Signahtre) Date/lime Received for Laboratory by UatelTlme <br /> Method 01 shiprnertl r �'^ Laboratory Name <br /> -� � r .l�-r r✓� � Leh <br /> Special Inslruclions AfR ilrt��M fYTi�hR P rrormance or the above Indicated work <br /> /11 J PRESERVATION- UaU fY�Ct iJ UI Cr1 <br /> GOOD CONDITION— APPROPRIATE Le <br /> HEAD-SPACE-ABSm 4CONTAINW-m—� <br />
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