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COMPLIANCE INFO
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1200 - Lead Program
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PR0529468
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COMPLIANCE INFO
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Last modified
8/10/2021 10:00:36 AM
Creation date
8/10/2021 9:02:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1200 - Lead Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0529468
PE
1201
FACILITY_ID
FA0019562
FACILITY_NAME
KING, PETER R
STREET_NUMBER
38
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
15121052
CURRENT_STATUS
02
SITE_LOCATION
38 S AIRPORT WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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CENVIRONMENTAL INVESTIC fION, CONT. <br /> 2.NUMBER OF ENVIRONMENTAL SAMPLES <br /> XRF Lab <br /> Paint Sail Dust Paint(AA) Soil(AA) Dust{Ari) i Water Test Kit Other TOTAL <br /> Total h or samples taken 1-7 Z 3 Z Z 6 O Zq <br /> #above regulatory standard l Q ' i a <br /> i x Positive: <br /> 3.SUMMARY OF SOURCES OF EXPOSURE IDENTIFIED(See decision logic on page 17.) <br /> f <br /> Z <br /> G4n1�rr+i a ; GJ7 .S !R Q q <br /> I <br /> I <br /> 4.ON-SITE RECOMMENDATIONS TO CHILD'S PARENT/GUARDIAN <br /> t r' r - oor Ao,,A 6Kan <br /> rr <br /> >�suct t t ICI� / <br /> / htw% n an �h'. r dca t Iv,,,/OwSr ll <br /> Lr irN1` S r bs r oi <br /> 5.DATE ENVIRONMENTAL SUMMARY FOR PCP SENT TO PHN: <br /> 0I Z� I <br /> �()ATE OF WRITTEN NOTIFICATION TO LANDLORD/PROPERTY OWNER: <br /> Oq l 2W /of <br /> 3104 Lead Poisoning Follow-up Form California Department of Health Services Childhood Lead Poisoning Prevention Branch Appendix A-2 <br />
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