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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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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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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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or S29a 9/20/13 /03E3 Soil <br /> 1 <br /> <br />Sleeve X <br />Phone: <br />FAX: <br />Project Manager: <br />Project Job: <br />Client Sample ID <br />(559) 348-2200 <br />(559) 348-2190 <br />Michael Bowery <br />01413157-Wilson Way Property <br />Sample Sample Sample <br />Date Time Matrix <br />Container <br />Type TPH-cc by 8015C Correct Containers: <br />Sample Temperature: <br />Sample Preservative: <br />Turnaround Time: <br />Comments: <br />RELIN9U1HED, BY <br />Signature: <br />Print: <br />Company: <br />Date: <br />Signature <br />Prinf• <br />Cornpany: <br />Date: <br />Signature: <br />Print: <br />Company: <br />Date: <br />RECEIVED BY <br />Signature: <br />Print: <br />Company: <br />Date: <br />Signature: <br />Print: <br />Company: <br />Date: <br />Time: <br />Ti <br />Signature: <br />Print: <br />Company: <br />Date: <br />"stifr <br />crz;,1—.071/C <br />9wy2 'Time: gkao <br />Yes No <br />Ambient Cold Warm <br />Yes No <br />Normal <br /> Specify: <br />if Noel <br />Krazan <br />09/20/13 <br /> by) <br />Time: q <br />9:21# Time: r. co <br />Krazan & Associates, Inc. 215 W. Dakota Avenue, Clovis, CA 93612, (559) 348-2200, FAX (559) 348-2190 <br />CHAIN-OF-CUSTODY RECORD <br /> DATE: 09/20/13 Lab ID: 7732035' <br />Client: Krazan & Associates, Inc. REQUESTED ANALYSIS <br />Address: 215 West Dakota Avenue <br />Clovis, CA 93612 <br />Sampled By: Jeff Noel <br />STD TA
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