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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3737
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2900 - Site Mitigation Program
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PR0544096
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Entry Properties
Last modified
2/4/2019 4:33:49 PM
Creation date
2/4/2019 4:14:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544096
PE
2950
FACILITY_ID
FA0025081
FACILITY_NAME
ARCH ROAD LOTS
STREET_NUMBER
3737
STREET_NAME
ARCH
STREET_TYPE
RD
City
STOCKTON
Zip
95215
CURRENT_STATUS
02
SITE_LOCATION
3737 ARCH RD
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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' GIEL <br /> C1 (-_ __`°`10P--_`ANF-`"''11TE-" - N-W�-�=4/SIF..,.�Ht( •..c� 22.. 2 <br /> CONCORD, CA 94520 Amu ANAL.>rSIS krudESt . <br /> ENVIRONMENTAL (510) 685-77852 <br /> Gm LABORATORIES. INC. (800) 423-71 <br /> Company Name: Phone# <br /> TIE* C FAX#: 6 ❑ ❑ <br /> Co"� a Add s: Site to ation: w a x ❑ <br /> V� `�'! �o �ht Hwy � -�^�� C� <br /> n ❑ ❑ ❑ ❑ ❑ c ❑ <br /> o 10 $ <br /> ec ager: Client Project ID: (#)D�a ❑ 3 ❑ � `� 90 a ❑ cc <br /> ❑ •� <br /> Lu y £ ❑ <br /> NAME �AQ-ArA & �d p m ❑ ❑ ❑ ❑ z z p > ❑ <br /> I attest that the proper fi s piing Sam r Name(Print): /Y'/��, E o ❑ in Vii g ❑ ❑ �{ ❑ ❑ <br /> procedures were used d the collection ✓�iC `�:/ 3 y o v ❑ In ❑N 9 <br /> of these samples. u ❑ $ o ❑ R ^�j' ❑ c° ❑ a <br /> G. N 2 1 a ❑ <br /> N lO m f") 2 U ?� ❑ N ❑ a 0 f ❑ h <br /> Matrix Method Sampling x o :> Co a 003D O ❑ > <br /> Field GTEL 0 Preserved P 9 a y ❑ ❑ w a. w `� J J g ❑ a ` ❑ <br /> Sample Lab # W V ❑ 0 ❑ ❑ 13 a a ❑ ❑ <br /> ID Lab use � ff`licu') <br /> °oow �_W � � � � � � x � .Y <br /> ( Y) l� t� � o <br /> <1WILZXaSm rn a O x x x o�4 % CO m = = o w w w w I'ii w w w iii H u°l v <br /> ID <br /> --- <br /> MIA d4 r- <br /> TAT Special Handling SPECIAL DETECTION LIMITS n�. REMARKS /���'�-C(✓O <br /> r 13leSCQ� Q'Gc�o �G'' <br /> Priority(248 ❑ ouctGTEContact L n�� „C-_ ! ,/ 'VIA • ��� I „� L��a� <br /> Expedited(48 hr) ❑ puote/t:ontract x �,}e. I , ?�-� (//�*�UOr��T�/�, <br /> 7 Business Days ❑ Confirmation M •� <br /> Other PO y SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage-Location: <br /> Business Da s <br /> QA/QC LEVEL <br /> BLUE❑ CLP❑ OTHER FAX Work Order# <br /> Relinquished by Sampler ate Time Received by: <br /> 4:�� � D <br /> CUSTODY 50fiquished by: D to Time Received by: <br /> RECORD Relinquished by: Date Time Received by Labors ry: <br /> Rev.7191 Waybill# <br />
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