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COMPLIANCE INFO
EnvironmentalHealth
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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
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SJGOV\dsedra
Tags
EHD - Public
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Turnaround Time: Normal Specify: Comments: /xi 3/ PLEASE COMPOSITE SAMPLES S10, S11, S12 & S13 40 PLEASE COMPOSITE SAMPLES S14, S15, S16 & S17 Sample Preservative: Sample Temperature: Correct Containers: Cn <br />--.1 <br />.1 <br />Cn <br />a) <br />cs, <br />Co <br />cn <br />Cl) <br />04 <br />Z,,j I:" <br />Cn <br />IV <br />Cl) <br />ā1 <br />Cl) <br />0 1 Client Sample ID Sample Date :.. Project Job: Project Manager: Phone: Sampled By: Address: Client: 01413157-Wilson Way Property Michael Bowery (559) 348-2201 (559) 348-2200 Martin Groth 215 West Dakota Avenue Clovis, CA 93612 Krazan & Associates, Inc. Yes Ambient -< CD <br />0 7:i <br />CO <br />Z5 <br />03 <br />CO <br />ii5 <br />03 8/9/13 ; co <br />45 <br />04 <br />CO <br />03 <br />:.1' <br />Cā¢3 <br />CO <br />QD <br />03 <br />CO <br />C3 <br />21 <br />Cp3 ON I Cold 0 10:52 10:47 i..1. <br />0 0 <br />i, 0 <br />.i <br />U.) -, 10:23 I '--15:7715 Sample I Time I = Soil u) <br />ā <br />Ch b Soil Cft 0 = <br />C/) 0 = <br />CA 0 = Sample I Matrix I . . . -a -a Container Signature: Print: Company: Date: Signature: Print: Company: Date: Signatuge Print: Company: Date: L.11!ex, 1 Sleeve Sleeve <br />CD iā. a) a, <br />ei Sleeve Sleeve ' Sleeve Sleeve Type xxX xxxxVOCsby 826013 REQUES1 ryg./3 Time: /0:00 o <br />03 Krazan a) <br />K <br />h3 <br />4 . <br />'.1*.. <br />0 <br />XX XX X xx x OCPs by 8081A <br />xxxxxxxx CAM 17 Metals by 6010 <br />xxXxxxxx TPH-cc by 8015C <br />ft, ..- dip XxxxXXxXCHby8151A Signature: Print: Company: Date: Signature: Print: Company: Date: Signature: Print: Company: Date: RECEIVED BY <br />xxxxxxxx Formaldehyde by 8315 rED ANALYSIS P-12.17 Time: Ao:00 <br />I. <br /> Krazan & Associates, Inc.
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