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ARCHIVED REPORTS_XR0005419
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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O
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OLIVE
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1030
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3500 - Local Oversight Program
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PR0545637
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ARCHIVED REPORTS_XR0005419
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Entry Properties
Last modified
5/4/2020 2:23:34 PM
Creation date
5/4/2020 2:16:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005419
RECORD_ID
PR0545637
PE
3528
FACILITY_ID
FA0001060
FACILITY_NAME
QUIK STOP MARKET #2076*
STREET_NUMBER
1030
Direction
S
STREET_NAME
OLIVE
STREET_TYPE
ST
City
STOCKTON
Zip
95215
APN
157-264-22
CURRENT_STATUS
02
SITE_LOCATION
1030 S OLIVE ST
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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r <br /> f - <br /> KIFFO2795 2nd Street Suite 300 <br /> Davis,CA 956160�I Z <br /> Lab 530 297 4800 SRG#1 Lab No <br /> Ana! !Cd!LLC Page 1 of 1 <br /> Fax. 530 297 4802 ---- <br /> Project Contact(HardcopySmith <br /> To) California EDF Report? p Yes ❑W Chain-of-Custody Record and[Analysis Request <br /> Company I Address Sampling Company Log Code Analysis'Request TAT - <br /> Honzon Environmental Inc I HEIE <br /> Phone# Fax#- Global ID 0 o ❑ <br /> 916 939-2170 9163 939-2172 1 1 T0607791627 m 12 hr <br /> Project# P 0 P EDF Deliverable To(Email Address) a 0 c <br /> 707642 4556 <br /> Protect Name Sa Signature Roth w 24 hr <br /> QurkStop76 Q206 QM W o m o N E1 .0 <br /> Protect Address Sam AIN ContairiM ervatnre Matrix ® r. 9 '� w y a i e <br /> 1030 South Olive Avenue g 2 W w c 8w $ N <br /> Stockton COa 0 w El <br /> O a a W „ 8 = o o a 2 172 hr <br /> m , L a m <br /> O ._ w ur x a "� m a i I <br /> c m o `—° m U Z o W F O m 18 3 x � w <br /> Sample Designation Date Time v a t7, t— z x z 3 a m ,. > > > �. <br /> Mw-1 1,-)(l 3 Ix I I X1 I I x I x x I x I X <br /> I <br /> 77 <br /> r <br /> l <br /> eiingwshed by Craig Roth Dace Time Received by Remarks Standard TAT <br /> Relmgwahed Date Time Received by <br /> 1 <br /> Gilt to Hor¢on Environmental Inc..Gary Barker <br /> Relumquished by Date Time Received by Leboratory I For Lab Use Only Sample Receipt <br /> 057-foo L& �A Temp T Initials Date 'lime Therm ID caai.rtPrmarc <br /> Eft-bbAon While-lab Pork-Ongmator <br /> Rev 051805 <br />
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