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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2402
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2900 - Site Mitigation Program
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PR0539430
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Last modified
2/15/2019 12:06:18 PM
Creation date
2/15/2019 11:41:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0539430
PE
2953
FACILITY_ID
FA0022537
FACILITY_NAME
WHITE ARROW LLC
STREET_NUMBER
2402
Direction
S
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16707029
CURRENT_STATUS
01
SITE_LOCATION
2402 S CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SunStar Laboratories, Inc. Chain of Custody Record <br /> 25712 Commercentre Dr <br /> Lake Forest, CA 92630 <br /> 949-297-502`0 p <br /> Client: 7-lad t V)P Y' [06�,-MG� /t� L1 �f,i f%"IC �IYiG, Date: /�J12Y3 `Z-'A v ,Li Page: r Of � <br /> Address: Project Name:-L[402- �sitjr�o✓YliA �ril <br /> Phone: Fax: Collector: 9 . 1"—'(M Client Project#:��-������ j <br /> ProjectManager: an-+-fl1[h fid✓1 S' .Batch#: �T—U-WWEDF#: <br /> R <br /> c m � <br /> • 'm m <br /> T L <br /> H <br /> 0 U l^ <br /> p 0 N <br /> V! p <br /> x <br /> > Xy U H ^ 00i <br /> x x1- W m 9 % <br /> OLU <br /> o C� ..� p d <br /> + M m tz ik <br /> Sample Container N "' 'r' "' � d - a =' <br /> Sample ID Date Sample Time Type Type co m m m V Comments/Preservative I°- <br /> 1-S 2019 8-N5tm _( c.Y ®• <br /> 611 <br /> -7Q zQ - aNreru <br /> R3-5' Zm4+n b <br /> 9-to <br /> -IS LO <br /> S'S 9 Lt <br /> ISS.-Io Zza«+ tL <br /> 031 « t <br /> t3E-[Q c= tN <br /> _5- <br /> I aey t5 <br /> nature) D e/Tim/e� `� Receiv by:( ' DDa�te!Tryime ) ) 2� Total#of containers Notes - <br /> 7/Z� W ✓J 1� 5` ^� / Ehain of Custody seals f J/NA <br /> Relmq d by: (signature) //Date./Time Recei d b Date/Ti a Seals intact9(x%',1t',/NA �+�►7�� ,� <br /> Gsv Ll 1ZSt tN 9-5b % ZS /4 �6o Received good condiffon/cold <br /> Relinquished by:(signature) Date/Time Received by (signature) Vatd/Time <br /> Turn around time: <br /> Sample disposal Instructions: Disposal @$2.00 each Return to client _ Pickup <br /> COC135500 <br />
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