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3500 - Local Oversight Program
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PR0545790
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/15/2020 12:44:35 PM
Creation date
6/15/2020 12:20:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545790
PE
3528
FACILITY_ID
FA0011052
FACILITY_NAME
West Wind
STREET_NUMBER
100
Direction
S
STREET_NAME
VENTURA
STREET_TYPE
AVE
City
STOCKTON
Zip
95203-2920
APN
14505017
CURRENT_STATUS
02
SITE_LOCATION
100 S VENTURA AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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w <br /> Ftntech Analytical Labs, Inc, <br /> 525 Del Rey Avenue, Suite E • Sunnyvale, CA 94086 •Telephone: (408)735-1550(800)287-1799 • Fax: (408) 735-1554 <br /> Chain of Custody/Analysis Work Order <br /> Client: �S Project ID: ����,�� -S{k�►. LAB USE ONLY <br /> Address: 1l +,j �Y\Lg. Purchase Order /P <br /> SanIp ler CoTelep Ione l Salt)Iles arrived chilled and intact: <br /> 1 <br /> COMM: t� S ,�� A Yes No <br /> Tele phone #: --- S-�'Z ��- 3 1. ..__ leciahist ruchott Comments <br /> Nates: <br /> t•QvL�.at �.�( vT Sll]i A SW7) •.� <br /> [),Ile Received: q <br /> Tum Around: <br /> S11111p1e lulurttultiolt Rc uesteil Anal sis <br /> crab/ plate Time Sample y `_ <br /> Lab# Sample IU Composite Matrta Collected Collected Pres. Container (�q <br /> ,. <br /> L 1'f - <br /> - a. <br /> $�a - 2 ll It '{ 1p S`� +r ►t <br /> �— <br /> .f'- <br /> Re i4 Ilale Time <br /> 76 1 <br /> ReluIq ): Rceciced lid': Date <br /> Time <br /> Rclhkq/Bv! Rcccivcd 11%: 1)alc <br /> Tiu�c <br />
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