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ARCHIVED REPORTS_XR0010390 (4)
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0543041
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ARCHIVED REPORTS_XR0010390 (4)
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Entry Properties
Last modified
5/18/2020 3:21:57 PM
Creation date
5/18/2020 3:07:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010390
RECORD_ID
PR0543041
PE
2960
FACILITY_ID
FA0024604
FACILITY_NAME
HUMAN SERVICES AGENCY
STREET_NUMBER
145
Direction
S
STREET_NAME
SUTTER
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
14912016
CURRENT_STATUS
01
SITE_LOCATION
145 S SUTTER ST
P_LOCATION
01
QC Status
Approved
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LSauers
Tags
EHD - Public
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LI 885 Jervis Drive * Morgan Will, CA 95037 + (408)776-9600 * FAX(408)782-6308 <br /> SEQUOIA ANAr,Y'l'YC11Y, McDowellU 1455❑ 919Stnke AveBSute 8l*elSacramento,CA 9593ums, CA 4 4( )921-960D 2-1865 4 FAX(707)792 2 <br /> -960D * FAX 92-0104 <br /> CHAIN OF CUSTODY ❑ 1651 Industrial Road * San Carlos, CA 94074 * (654)232-1)600 + FAX(050) 232.9612 <br /> ❑ 404 N Wiget Lane * Walnut Creek, CA 94598* (925)988-0600 * FAX(925) 988.8673 <br /> Company Name: Pralect q <br /> Mailing Address &;r S+ Z)L Btfhn©Address(if difforon <br /> Clly tiLr <br /> State Zip Coda <br /> Telephone Fax 94 9'► ! o # <br /> — - -- -- <br /> Report To E-mad Address; [sx� �, ,'al data evel I! (standard) ❑ Level III C] Level i11 <br /> Sampler.f. yiAerw Dato f Tlmo Rosults Roqulrad Saquofa's Work Order# <br /> Turparaund &-15 Worldng Days ❑ 72 Hours MANDATORY, ANALYS S REQUESTED tl vd <br /> Time, (Standard TAT) ❑ 48(burs 0 SDWA{Drinking Water) <br /> U 7 Wor"Days U 24 flours -'N' CWA RP6te weer) <br /> ❑ 5 Working Days ❑ 2-8 Hours ❑ RCRA( szi arduus Waste) <br /> 0 Other, .'rr.•r+.•.'.`.��"r <br /> ■ ! <br /> Client Data f Tim© Matrix #of Con;a f��": � quorb S+ M a � � ��� <br /> ~Y Y � •r m{if r�equ red) <br /> rnantW <br /> Sample I D. Sampled Hese Coni '„' ' Sample# Te <br /> " <br /> 53WVY) coal <br /> Ir <br /> Z • L M ! J&:o ■'` .^Q '-6 t32 r MV, 4��r }■ Vi/ <br /> b '■ <br /> 0 /w /? 1 <br /> V" „ M V r • �r F <br /> • y r s as ♦ � <br /> 4 i G'r' fi /� �« ~'"� MINI —NA"`i" "5� "w•�.� c <br /> 1 <br /> If 6* •I p,IF <br /> Jrr •Nr� • ♦ * s '`rr�r�r r�'r' • -. •Vt4ar *°i, <br /> • " • * rr r W • <br /> M**yW • ■ •b«*#�•r�M r}a r. � . r r r w s w 1 <br /> 6 Y #M A 1► -� r r r <br /> �• Y r1 <br /> r y • 1 4 <br /> 7 y `r# <br /> y, Y r « r r .► A r w•w <br /> rf •Jq* IF W S r M F t r Y •*w <br /> a? 4 * rk YR 1 ti r a ■ V i / <br /> A xw • a M • ■ 7 s r r • • � . . w • 4s..� rr.�•e r r ■ 1� <br /> Y � <br /> i Y+�' � wr rr r Il r � n - ry M r r i • <br /> W Y • r w '• r� a <br /> �. � � b r • �.' !'* ■ r bre �*•'* �!•`, r`rrrtr • ■• <br /> � K _ • r T <br /> f <br /> Ila <br /> r`yri�r w b bT7F■tie r', r�r�'r� 'w*�y �,r.}r <br /> rr*ti•p w w •;� <br /> Relinquished kyr . Date!Time F ' <br /> Relinquished By Recglv� Date 1 Time <br /> Reflnquished-By Reeved By Date/Time14 <br /> _! <br /> Relinquished By Received By Date!Time it} 3p <br /> Were Samples Recerved in Good Conditlon? Q Yes a No Samples on tce7 U Yes ❑ No Method ots ant Prige—of <br /> i VvNto sequolaquoia Mnk-Ghent <br /> Ye Se5�� <br /> 01111111111 <br />
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