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REMOVAL_2004
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231963
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REMOVAL_2004
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Entry Properties
Last modified
12/23/2019 2:51:46 PM
Creation date
11/7/2018 10:09:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2004
RECORD_ID
PR0231963
PE
2361
FACILITY_ID
FA0006445
FACILITY_NAME
PG&E: Stockton Service Center
STREET_NUMBER
4040
STREET_NAME
WEST
STREET_TYPE
Ln
City
Stockton
Zip
95204
APN
117-020-01
CURRENT_STATUS
01
SITE_LOCATION
4040 West Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\W\WEST\4040\PR0231963\2004 REMOVAL .PDF
QuestysFileName
2004 REMOVAL
QuestysRecordDate
7/26/2018 11:28:37 PM
QuestysRecordID
3948763
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTOM RECORD <br /> 110 2n° SOUTH,#D7 TURN AROUND TIME U U <br /> PACHECOCO,CA CA 94553-5560 <br /> Website:www.mccamnbell.com Email: main Camccampbell.com RUSH 24 R 48 HR 72 HR 5 DAY <br /> Tele one: (925)798-1620 Fax: (925)798-1622 EDF Required? Coelt (Normal) No Write On (DW) No <br /> Report To: .../ „i,/ a`/ Bill To: Anal sis Re ues[ <br /> vQ Other Comments <br /> Com an <br /> 7� l tit fG ,�9 - m I Filter <br /> E-Mail.�""^ s0�( F Samples <br /> Tele: Fax: ( S�Uj 79-7/ o I for Metals <br /> Project#: Proect Name:P6 r = e N analysis: <br /> Project Location: q7 j j = a g r g Yes/No <br /> Q V N N <br /> Sampler Signature: //�� a r g N Z <br /> SAMPLING 2 MATRIX METHOD g a o a ro N m o o <br /> tN. O PRESERVED <br /> O N V ti V y O • <br /> SAMPLE ID C ' °1 E o �+ 'e o m w "' '' SSS g `� <br /> e x <br /> (Field Point Name) LOCATION o F q ,�, Z o o y e Z <br /> Date Time c U w` c a w - a o o < ^ N N a r N N <br /> U o. ~ ° U U Z f a a o a [W- a a a a a W <br /> F � V] Q h O ... .'L.' O m F F' F L-1 W W W W W W W 4 U <br /> Z G <br /> RelinquishheedsBy: to Time: Rec COMMENTS: <br /> GOONDITION <br /> HEAD CO <br /> ABSENT <br /> Relinquished By: ate: Time: Received By: DECHLORINATED IN LAB <br /> .APPROPRIATE CONTAINERS <br /> PRESERVED IN LAB_ <br /> Relinquished By: Date: Time: Received By: VOAS I O&G I METALS I OTHER <br /> PRESERVATION pH<2 <br /> 'Please circle water type: <br /> GROUND WASTE DRINKING RECREATIONAL EFFLUENT <br />
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