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COMPLIANCE INFO_2020
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0545413
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
12/16/2020 10:05:23 AM
Creation date
11/4/2020 3:26:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0545413
PE
2221
FACILITY_ID
FA0025396
FACILITY_NAME
STOCKTON MARIPOSA
STREET_NUMBER
6540
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18109027
CURRENT_STATUS
01
SITE_LOCATION
6540 S AUSTIN RD
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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Enviro-Chem, Inc. Laboratories Turnaround Time <br /> 0 Same Day (� i Misc./PO# <br /> 1214 E. Lexington Avenue, 0 24 Hours <br /> Pomona, CA 91766 0`72 Hours Ir <br /> L" <br /> 0 72 Hours z w z + + wy <br /> Tel: (909) 590-5905 Fax: (909) 90-5907 °�'t Week(Standard) z = . <br /> Other o + <br /> CA-DHS ELAP CERTIFICATE#15 <br /> w Lu <br /> O w <br /> SAMPLE ID LAB IDaAT t z w Analysis Required COMMENTS <br /> ' T <br /> T I <br /> 01 <br /> Lei N <br /> f <br /> w , <br /> ' I <br /> I <br /> 1 <br /> I <br /> Company fame: Project Contact: Sampler's Signature <br /> Tel: Project Name/ID: <br /> Address: Ja/ �/�� � �V , <br /> City/State/Zip: �� (� C Fax' 7 /p j / / .S� X <br /> Relinquished by: Received by: err : }c Inst uctions for Sample Storage After Analysis17 : <br /> Relinquished by: Received by: Dei&Time: 0 Dispose of 0 Return to Client 0 Store(30 Days) <br /> 0 Other: <br /> Relinquished by: Received b : Date&Time: <br /> CHAIN OF CUSTODY RECORD <br /> Date: WHITE WITH SAMPLE•YELLOW TO CLIENT Page__/_of <br />
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