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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0528187
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COMPLIANCE INFO
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Entry Properties
Last modified
5/27/2020 2:37:50 PM
Creation date
5/27/2020 2:28:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0528187
PE
2950
FACILITY_ID
FA0019081
FACILITY_NAME
SAHARGUN PLUMBING
STREET_NUMBER
2216
STREET_NAME
STEWART
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
11908014
CURRENT_STATUS
01
SITE_LOCATION
2216 STEWART ST
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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- - r-M 4� an <br /> KIFF 2795 2nd S'dreet,Suite 300 <br /> Davis,CA 95616 <br /> Analytical LLC Lab: 530.297.4800 SRG#/Lab No. � � � � Page f of <br /> Fax: 530.297.4802 <br /> Pro' t Cont (Har copy or PDF To): Calrfornia EDF Report? El IVI <br /> �o r Yesecol a NO Chain-of-Custody Record and Analysis Request <br /> Company/Address: Sampling Company Log Code: Analysis Request TAT <br /> w SSI �Sac.r0IMaA_:6 <br /> P on #: Fax#: Global ID: n — ❑ <br /> °tl6 372-IN 3412 hr <br /> ® m <br /> Project#: P.O.#: EDF Deliverable To(Email Address): T a ❑ Oc <br /> ZI'i• of oATAYLoR61JAL-ACE-Ktx4L.cow m W m m <br /> Project Name: < Sam S ature: m a o a o i 24 hr <br /> 221 �. J�Q 1�A f� t -t / a m m N a ; N m ❑ <br /> f w o o w M o a J <br /> Project Address: Sam ling Container Preservative Matrix a ® n m N -e -- 48 hr `o <br /> a w ILLm m m N a a v , w as ci <br /> 0 o N am w w �i w O a <br /> Q m M m a m m v m o w El <br /> aCD <br /> a ¢ w > o m 72 hr <br /> m w "' w m m i� 2 O O m J <br /> E m `� `6 O e °' _ m m x a <br /> Sample Designation Date Time v in a C7 � 1:11: z rp Q 2 2 m F- O O > > > Uwi <br /> F <br /> to 915 01 <br /> 01- 1 1130 <br /> OZ <br /> 03 <br /> Reli u hed by: Date Time Received by: Remarks: <br /> � „LL <br /> g�l�a g (S 30 <br /> 0, <br /> Relinquish by. Date Time Received by: <br /> l3ill to: <br /> Relinquished by: Da�1te�l O�I Time ReceivedbyLaboratory: �AFor Lab Use Only: Sample Receipt <br /> Temp°C Initia <br /> ls Oat e Time Therm.ID 0 cewam P, " <br /> TJl Odpv l 1517A I;2— Yes / No <br /> Distribution: White-Lab;Pink-Originator <br /> Rev: 051805 <br />
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