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ARCHIVED REPORTS_XR0010710
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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THORNTON
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9110
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3500 - Local Oversight Program
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PR0545727
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ARCHIVED REPORTS_XR0010710
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Entry Properties
Last modified
6/4/2020 11:56:43 AM
Creation date
6/4/2020 11:26:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010710
RECORD_ID
PR0545727
PE
3528
FACILITY_ID
FA0005693
FACILITY_NAME
7-ELEVEN INC. STORE #20680
STREET_NUMBER
9110
STREET_NAME
THORNTON
STREET_TYPE
Rd
City
Stockton
Zip
95209
CURRENT_STATUS
02
SITE_LOCATION
9110 Thornton Rd
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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Sectiot Chain of Custody a4d Analysis Request 00-0- <br /> ConsultantI <br /> ti Turn Around Time Superior Precision Analytical, inc. <br /> Address o �r (drele airs) <br /> Be Day 72 hk�s P O Box 1545 <br /> Martina.Callfornia 94553 <br /> Phone hlSLi u�-3?7 Fax No. 2a 48 Hrs <br /> Martinez f t510J 2241512 Martina 21510J 229-0166 <br /> Project Manager w(,X` w. Normal 5 pay SanFramisc l%647-209 F �- <br /> Alternate Contact r;ii P�Q Sampler: H C-C,e..j.• A `) -' T <br /> Project No.0 103c)(2-1 P.O. No. Regulatory Agency: <br /> Section ll: Analysis Request <br /> Sampling Remarks <br /> g <br /> ❑ BkHvmsdiadon <br /> ar Underground storage tank <br /> a <br /> Laboratoan Monkmng <br /> ry 3 0 m N <br /> Sample m ❑g �� R � Recent Contaminalzon , <br /> Identification Matrix a°o v c ❑ Unknown Compounds <br /> 1 _f_ 'rVkN 1 01�- <br /> 2ZMQijL4,j ?- 'P -- <br /> 3 <br /> 4 = <br /> 5 - <br /> B <br /> 7 f <br /> 8 E <br /> l <br /> 9 ,- <br /> 10 <br /> 11 <br /> 12 <br /> -- °` Asosi11ed by -Q'D'fi"' Lab please initial the following: <br /> Orgenhatkm = 11Orgarrizat9on Sarnples Soared in los <br /> Aehngmhed by /Tint Rsaeivsd by Contearers <br /> et►+zatra► 9 a&atW t <br /> Aehnquiahed CDabe/Tirne Received by te/Tnrs Comrnertts <br /> O enaatron enixewon <br />
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