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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0009038
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COMPLIANCE INFO
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Last modified
5/20/2021 6:01:31 PM
Creation date
5/20/2021 2:19:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0009038
PE
2960
FACILITY_ID
FA0004035
FACILITY_NAME
STOCKTON REDEVELOPMENT AGENCY
STREET_NUMBER
448
Direction
W
STREET_NAME
WEBER
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
APN
13726005
CURRENT_STATUS
02
SITE_LOCATION
448 W WEBER AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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i <br /> Chain of Custody Number: 3 35 <br /> Stantec Chain-of Custody Record <br /> Field Office: 077 Sacramento El Additional documents are attached, and are part of this Record. <br /> Address: 3017 Kilgore Road,Suite 100 Job Name: Parcel 2A <br /> Rancho Cordova, CA Location: 666 West Weber Avenue <br /> Stockton,CA <br /> Project#s 211602385.600.0800 Task# Analysis Request <br /> Project Manager Dan Schreiner <br /> Laboratory Kiff Analytical w N r <br /> Turnaround Time Standard W a W m <br /> a S <br /> Sampler's Name /�'F�a� ����.-��r�-fir+ W W x° <br /> tZ <br /> � aW a. <br /> "r Sample's Signature 49J± a Comments/iz o h a E <br /> Sample ID Date Time Matrix W w z n W" w a om <br /> co <br /> Instructions z' <br /> SV-INF Ittid Air X 1 urBZ <br /> fimiNFe- 4,J-5 1 <br /> 4J 1 <br /> sW1Nf:e-WM6 IZJ 1 <br /> Special Instructions/Comments Relinquishod by: Received by: Sam Ie Receipt <br /> 5 Oxygenates: MTBE, DIPE, ETBE, TAME,TBA Sign Sign Total no. of containers: <br /> (Detection Limits: 0.5 Ng/L,5.0 Ng1L for TBA) Print ,CSS xy Print Chain of custody seals: <br /> Metals: Cadmium/Chromium/Copper/Lead/Nickel/Zinc Company Com Rec'd in good condition/cold: <br /> Time Date l / e Date Conforms to record: <br /> T <br /> EDF Deliverables Relinquished by: Received by: <br /> (0 email results and EDF to: Sign Sign _ ren : Stantec <br /> cD erik.lawsona-stantec.com Print _ Print AA lient Contact: Brian Goss <br /> N <br /> bdan.goss(a)stantec.com Compan Company Client Phone: (916)3840779 <br /> 0 <br /> N) Ti Date Time Date 1 ,21 I <br /> Date: Page 2 of 2 <br /> i <br />
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