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ARCHIVED REPORTS_XR0009107
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PERSHING
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4555
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3500 - Local Oversight Program
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PR0545652
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ARCHIVED REPORTS_XR0009107
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Entry Properties
Last modified
5/6/2020 3:58:08 PM
Creation date
5/6/2020 3:35:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009107
RECORD_ID
PR0545652
PE
3528
FACILITY_ID
FA0003638
FACILITY_NAME
JEMCO VENETIAN CARDLOCK
STREET_NUMBER
4555
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017001
CURRENT_STATUS
02
SITE_LOCATION
4555 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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LSauers
Tags
EHD - Public
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M. <br /> M vtronrnentaV 3083 Gold Cana!Dave WSID <br /> �a torle5 w Rancho Cordova <br /> CMPLETE <br /> CA 95670 CHAIN OF CUSTODY RECORD 0J 2 6 INSTRUCTIONS <br /> Phone 9161852-6604 <br /> Fax 9)6/852-729 <br /> GQ, ,07 ��C1 v�` GY FOR LABORATORY USE ONLY Analytical Methods <br /> mon <br /> Snip To: Z /� Project Name: �S 4131 <br /> Address: Q�/ C� ` &r7 1 , Project Number: G �d O Q�.QG' Laboratory Projet t# 413 2 Long <br /> orrt Method <br /> � <br /> + Storage ReTrigerator ID J 418 1 Long Method <br /> G� fO ( U rOIpyai e� Projecl Location- (State) C Storage Freezer ID 420;Short Method , <br /> Sam��timG, - k rr PPE Wo �tv C� 5503 z <br /> 502.2 <br /> 503E <br /> Received By or 1hod�6l Sht t�Shlpmrnt 1 D Q�te/Yyag 601 a <br /> 604 <br /> Relinquished By ✓ Date/Cune Receiv �" o0 of x <br /> Relinquished By / DawTune Received By or Method of Shipment/Shipment I D Date/lnue 610 <br /> 62g <br /> 8010 <br /> BO! <br /> ��jj ANALYSES REQUESTED 8015 Mod <br /> Samhe�Do e) Level of QC I'J 1 ❑2 ❑3 ❑4 ❑5 ❑6A Q 211 <br /> (see Side 2) ❑ 111-11 am <br /> 6B ❑6C ❑6D ❑6E E]7 Write in )Jj Wao <br /> Analysts Method 8100 <br /> Laboratory Standard 8150 <br /> ❑ Other SAMPLE INFORMATION �' <br /> 8240 <br /> 8310 <br /> FOR LABORATORY USE ONLY Description Container(s) <br /> Aciditylay . <br /> Sample ID Matrix Pres chime <br /> 1D Number Date Time Locator Depth # Type Type Type TAT cCP <br /> LO(see Side z) <br /> 1 rS 1 q' Z Z 7 3 1 '007ow <br /> � lea C Nom�° Conductivity <br /> 2 } ! Cyanpde y <br /> G to Cyande <br /> Flashpoint <br /> 3 Z Z. C Fluoride <br /> 4 Z Z R General eral <br /> Hex chromium <br /> Ion Balance <br /> 5 z �: Metals(wrile specalrc <br /> metal d method 0) <br /> 6 Z 7 Metals 6010 <br /> C• Melals PP <br /> 7 T 7 /1/r,�,C Melals TAI.22 <br /> G• I�' TTLC Level <br /> 8 Z Z 3 7 U 4 sne Leel <br /> (see Side z! <br /> Nitrate <br /> 9 Name <br /> Odor <br /> 10 Org Lead <br /> Org Mercury <br /> Spectal Instructi ommet}Ss �~ �J G� Container Types A=1 Liter Amber TAT(Analytical Turn Around Tune) Peroent Solid <br /> Pefoant t�e <br /> i-'-3 Z 7`T r`/ eG 4 .fG�!/C /"j B=Brass Tube Cassette 1=24 hours 2=48 hours Perchlorate <br /> 0/'?d/ <br /> n `,f p� G i�IG v e G--Glass Jar P=Polyethylene 3=1 week 4=2 weeks Phosphates <br /> J Other V=Voa Vial 0=Other s Nape crus <br /> Suedes <br /> FOR LABORATORY USE ONLY Sample Condition Upon Receipt. tss SEND DOCUMENTATION AND RESULTS TO heo�t one)/f TCLVOA <br /> / Project Manager/Office �7 Cr 4 Metals <br /> Peslidde <br /> ❑ Chent Name TOS <br /> Total Hardnew <br /> Total Solids <br /> Company s —Q L 1� TPWD <br /> TPWG <br /> Address TSS <br /> Turgday <br /> Pho m FAX3 Specrly Total or Dissolved <br />
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