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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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PICCOLI
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1990
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2200 - Hazardous Waste Program
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PR0514089
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
1/5/2022 2:43:26 PM
Creation date
11/1/2018 4:24:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514089
PE
2247
FACILITY_ID
FA0003826
FACILITY_NAME
Supervalu
STREET_NUMBER
1990
Direction
N
STREET_NAME
PICCOLI
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10121001
CURRENT_STATUS
01
SITE_LOCATION
1990 N PICCOLI RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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FilePath
\MIGRATIONS\P\PICCOLI\1990\PR0514089\RTC 4_18_08 INSPECTION\RTC 4_18_08 INSPECTION.PDF
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EHD - Public
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RE1(..'1--1VEDI ia-� <br />JUL 2 8 2014 Page 2of5 <br />pr,f� A & R Laboratories <br />Formerly .Microbac Southern California FDA# 2030513 <br />1401 RESEARCH PARK DRIVE, SEWMONIVIEPO AL. EALTH10261 <br />ti DEPART <br />LAP#'s 2789 <br />MEN <br />>Q �� RIVERSIDE CA, 92507 IV' 2790 <br />.. <br />951-779-0310 FAX 951-779-0344 2122 <br />www.arlaboratories.com <br />office <br />CHEMISTRY MICROBIOLOGY - FOOD SAFETY MOBILE LABORATORIES <br />FOOD COSMETICS WATER - SOIL - SOIL VAPOR WASTES <br />CERTIFICATE OF ANALYSIS <br />1205-00005 <br />Date Reported 05/10/12 <br />HAZMAT TRANS Date Received 05/01/12 <br />MIKE HANINtER Invoice No. 67524 <br />230 EAST DUMAS Cust # 1049 <br />SAN BERNARD[NO, CA 92408 Permit Number <br />Project: UNIFIED GROCIERS, STOCKTON Customer P.O. <br />Analysis <br />Result Qual Units Method DF RL Date Tech <br />Date & Time Sampled: 05/01/12 @ 10:35 <br />Sample: 001 CLARIFIER <br />Sample Matrix: Aqueous <br />5.4 units SM 4500H+ B 1 0.020 05/01J12 GNL <br />PH <br />[Metals Title 22 no Hg] 2 05/01/12 TLB <br />Metals Acid Digestion Complete EPA 3010A <br /><0.0200 mg/L EPA 60108 1 0.0200 05/02/12 TLB <br />Antimony 1 0.0200 05/02/12 TL8 <br />ArsenK 0.0212 mg/L EPA 60108 <br />0.0688 mg/L EPA 60106 1 0.0100 05/02/12 TLB <br />Barium <br /><0.00500 mg/L EPA 60108 1 0.00500 05/02/12 TLB <br />Beryllium <br /><0.00500 mg/L EPA 60108 1 0.00500 05/02/12 TLB <br />Cadmium TLB <br />Chromium <br />0.0365 mg/L EPA 60108 1 0.0100 05/02/12 <br />0.0117 mg/L EPA 60108 1 0.00500 05/02/12 TLB <br />Cobalt <br />0.218 mg/L EPA 60108 1 0.0100 05/02/12 TLB <br />Copper <br /><0.0200 mg/L EPA 60108 1 0.0200 05/02/12 TLB <br />Lead <br />0.0165 mg/LL EPA 60108 2 0.0150 05/01/12 TLB <br />Molybdenum <br />0.112 mg/L EPA 60108 1 0.0100 05/02/12 TLB <br />Nickel <br /><0.0200 mg/L EPA 60106 1 0.0200 05/02/12 TLB <br />Selenium <br /><0.0200 mg/L EPA 60108 1 0.0200 05/02/12 TLB <br />Silver <br /><0.100 mg/L EPA 60108 1 0.100 05/02/12 TLB <br />Thallium <br />0.0364 mg/L EPA 60108 1 0.0100 05(02/12 TLB <br />Vanadium <br />0.976 mg/L EPA 60108 1 0.0400 05/02/12 TLB <br />Zinc <br />[Mercury] Complete EPA 7470A 1 05/08/12 KZ <br />Mercury Digestion <br /><0.500 ug/L EPA 7470A 1 0.500 05/06/12 KZ <br />Mercury <br />[TPH Gasoline (C4 -C12)] <br />560 N9/L CA LUFf 3 250 05/02/12 HXE <br />Gasoline (C4 -C12) <br />(Extractable Hydrocarbons] 05/07/12 KZ <br />Complete EPA 3510C 1 <br />Sep Funnel LLE 10.3 mg/L EPA 80158 1 0,40 05/08/12 KZ <br />C13 -C22 <br /><0.80 mg/L EPA 8015B 1 0.80 05/08112 KZ <br />[Surrogate] <br />98 %REC EPA 80158 50-150 05/08/12 KZ <br />o-Terphenyl (OTP) <br />IVB by GCMS] 430 pg/L EPA 82608 3 250 05/02/12 HXE <br />Acetone <br />The dab and Irtortnabon w MK, and odw a Mnyvq documents, represent onk dre samples) anatyeed and is rendered upon cordWon <br />that <br />it Is rot it, be reprab)ced, whoa/ m In part, far advcti N ur other Purposes wzl ut approval ham the Nbw tory. <br />USDA -EPA -NIOSH Twdrrp Food SanUtion Comu" Chem" -d 1Ucobfolegiut Ami`r.nd Rewmh <br />
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