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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
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EHD - Public
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Comments: i.o III PLEASE COMPOSITE SAMPLES S18, S19, S20 & 521 q2PLEASE COMPOSITE SAMPLES S22, S23, S24 & S25 Turnaround Time: I Sample Preservative: Sample Temperature: Correct Containers.. 03 <br />l0 <br />C2. <br />r <br />(f) <br />IA 144% <br />03 Cl) <br />tell‘V>0 .9 <br />03 C./3 03 CJ) Client Sample ID Project Job: Project Manager: -n Phone: Sampled By: Address: o <br />ii <br />,i • Normal I Yes I Ambient (1).< <br />w 8/8/13 oo <br />to <br />3h <br />t..) <br />co <br />rei <br />3 <br />43 8/9/13 8/9/13 , co a <br />3 <br />43 L 8/9/13 co a <br />3. <br />(3C,3 <br />co a ) <br />3 Sample Date 01413157-Wilson Way Property Michael Bowery (559) 348-2201 (559) 348-2200 Martin Groth 215 West Dakota Avenue Clovis, CA 93612 Krazan & Associates, Inc. 80 <br />cn 0 -az o z <br />a 1:10 °ii.,3 <br />_,, _% _h. _%, ..... 3 <br />.ci <br />.3 <br />.i. <br />3. <br />i';'.. Sample Time * w 0. Soil 0, 0. 0. wwwwwww 0. 0. 0, 0. Sample Matrix ,.. .. .„ <br />, I Container Signature: Print: Company: Date: Signature: Print: Company: Date: Sleeve I Sleeve I Sleeve I Sleeve ' Sleeve Sleeve] Sleeve I Sleeve Sleeve Type —I <br />3 <br />P. <br />c..g <br />4 <br />B <br />-4 <br />cr• .. <br />S ,1-#1.1,1011-1 Ma 'n Groth MEN. Krazan 08/12/13 XXXXXXXXVOCsby8260B <br />73 M 0 c m ce <br />xxxxxxxxx0CPs by 8081A <br />XX X XXXXX CAM 17 Metals by 6010 <br />X XX XXXXXX TPH-cc by 8015C <br />XXXXXXXXCHby8151A Signature: Print: Company: Date: Signature: Print: Company: Date:1 Signature: Print: Company: Date: RECEIVED BY <br />XX XXXXXX Formaldehyde by 8315 <br />XXXX pH rED ANALYSIS -lie <br />N <br />IFI <br />0 0 <br />i N <br />I <br />-1 <br />CD <br />• -mg tejepossv is) uezeim 215W. Dakota Avenue, Clovis, CA 93612, (559) 348-2200, FAX (559) 348-2190
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