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ARCHIVED REPORTS XR0001189
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CHARTER
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2900 - Site Mitigation Program
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PR0527799
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ARCHIVED REPORTS XR0001189
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Entry Properties
Last modified
3/4/2019 7:46:01 PM
Creation date
3/4/2019 1:48:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001189
RECORD_ID
PR0527799
PE
2960
FACILITY_ID
FA0018844
FACILITY_NAME
TRANSMISSION STORE
STREET_NUMBER
515
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
14707408
CURRENT_STATUS
01
SITE_LOCATION
515 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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M MM CMNM CMOD"LAft AL%S MUMFOTM* ea � � <br /> SHAW Envi mental& Infrastructure,Inc. Purchase Order 189247 for 2002 <br /> 1326 North Market Boulevard, Sacramento,CA 95834 Lab Sparger Technology <br /> Project Name Don Rodgers Analysis Requested <br /> Global ID No T0607700717 <br /> Project Number 8800391A/01050000 <br /> cit <br /> Project Manager David Herzog e; 00 <br /> Company SHAW Environmental& Infrastructure,Inc o <br /> Address 1326 North Market Boulevard 0 O° <br /> Sacramento,CA 95834 0 o <br /> N <br /> Dir Ph 916-565-4377 / FAX 916-565-4 6 00 <br /> 0 wry <br /> Sampler's Signature 0 = H REMARKS <br /> Sample LAB Sample I ContamerTypes <br /> I D Date Time I D Matrix HCI Preservations <br /> MW-1R l-> r `�� water 3 3 <br /> VIA, i water 3 <br /> VW-2D `+� water 3 3 <br /> VW-3D 2�l water 3 3 <br /> VW-4 `� water 3 3 <br /> I <br /> RELINQUISHED BY C IVED RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X I Routine Report <br /> j <br /> St re Signature Signature 24 hr 48 hr 5 day lI Report(includes DUP,MS <br /> Standard(-10.15 working days) MSD,as required,may be <br /> a ed Printed Name Printed Name Provide VuW Preliminary Results charged as samples) <br /> D ( �- Provide FAX Preliminary Resulis III Data Vandatlon Report <br /> F Finn Requested Report rate {includes All Raw Data) <br /> ` l Firm RWQCB <br /> e _/ Iia 1 r Date me Date/Time (MDLs/PQLs/TRACE#) <br /> RELINQUISHED BY RECEIVED BY Special instructions/Comments Container Types Key <br /> Sparger Technology 40 ml VOA I <br /> Signature Signature 3050 Fate Circle,Suite 112 125 ml LPE 2 <br /> Need EDDs per RWQCB Requirement for UST sites Sacramento,Calif 95827 500 ml LPE 3 <br /> Printed Name Printed Name 916-362-89471 Fx 362-0947 I liter HDPE 4 <br /> i <br /> Contact Will 500 ml glass 5 <br /> 1-irm Firm 1 liter glass 6 <br /> 2x6 sts ring 7 <br /> glass jar $ <br /> Date/Taine Date/Time <br />
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