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EHD Program Facility Records by Street Name
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WILSON
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4001
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2900 - Site Mitigation Program
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PR0537902
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COMPLIANCE INFO
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Entry Properties
Last modified
5/27/2021 3:44:48 PM
Creation date
5/27/2021 3:30:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0537902
PE
2953
FACILITY_ID
FA0021870
FACILITY_NAME
WILSON WAY PROPERTY
STREET_NUMBER
4001
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
13202008
CURRENT_STATUS
01
SITE_LOCATION
4001 N WILSON WAY
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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Krazan & Associates, Inc. 215W. Dakota Avenue, Clovis, CA 93612, (559) 348-2200, FAX (559) 348-2190 <br />DATE: 08/12/13 Lab ID: 3I 7C. <br />VI BARI\-- \•••• —V.v.+ • ••••• maw • . -..—......._ <br />Client: Krazan & Associates, Inc. REQUESTED ANALY§IS IVOC's by 8260B OCPs by 8081A CAM 17 Metals by 6010 TPH-cc by 8015C CH by 8151A Formaldehyde by 8315 Address: 215 West Dakota Avenue <br />Clovis, CA 93612 <br />Martin Groth <br />(559) 348-2200 <br />(559) 348-2201 <br />Michael Bowery <br />01413157-Wilson Way Property <br />Sampled By: <br />Phone: <br />FAX: <br />Project Manager: <br />Project Job: <br />Container Client Sample ID Sample <br />Date <br />Sample <br />Time <br />Sample <br />Matrix # Type <br />Si 01 8/8/13 3:15 Soil 1 Sleeve X X <br />S2 r32. 8/8/13 3:22 Soil 1 Sleeve X X , <br />S3 og 8/8/13 3:38 Soil 1 Sleeve X X <br />S4 OT 8/8/13 3:44 Soil 1 Sleeve X X <br />L.S5 8/8/13 3:57 Soil 1 Sleeve X X <br />; -S6 oa. 8/9/13 9:46 Soil 1 Sleeve X X X X X X <br />' S7 07 8/9/13 9:52 Soil 1 Sleeve X X X X X X <br />I Of ,S8 8/9/13 10:00 Soil 1 Sleeve X X X X X X <br />I S9 01 _ 8/9/13 10:07 Soil 1 Sleeve X X X X X X <br />i <br />Correct Containers: _ Yes No ,:,„: ., :ig.g::im RECEIVED BY <br />Sample Temperature: Ambient Cold Warm <br />: gaimpliiiii!iiimi <br />g:iigiiiiIiii:::giagin Signature. <br />Print. <br />Company: <br />' Date: <br />REJTILUIMFAk <br />Signature: <br />Print: <br />Company: <br />Date: <br />Sample Preservative: Yes No <br /> <br />L '.E a Gr7 .1*) <br />Turnaround Time: Normal Specify: Krazan <br />Comments: <br />37 PLEASE COMPOSITE <br />31 PLEASE COMPOSITE <br />to <br />SAMPLES Si. S2, S3, S4 & S6- <br />SAMPLES S6, S7, S8 & S9 <br />08/12/13 '1.D Time: <br />Signature: <br />Print: <br />Company: <br />Date: <br />Signature: <br />Company: <br />Date: <br />,..,,(, 2 , <br />Print: <br />„Ic, S:4.4 Siraw. <br />erg-ig Time: /0:00 e.t?is Time: Apex, <br />Signature: <br />Company: <br />Date: <br />Company: <br />Date: <br />Signature: <br />Print: Print: <br />Time: 'Time:
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