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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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515
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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 IWIP' ClWOF4ft L40WR)JIWANNIS OWUMV FQW = M <br /> SHAW E mental &Infrastructure,Inc Purchase Order # 18924 2002' <br /> 1326 North Market Boulevard,Sacramento,CA 95834 Lab Sparger Technology <br /> Project Name Don Rogers Analysts Requested <br /> Project Number 8800391A f OI020000 <br /> Project Manager �:t1r1C1 � N <br /> Company SHAW Environmental & lnfrastructure, nc <br /> Address 1326 North Market Boulevard <br /> o <br /> Sacramento, CA 93834 ` 00 <br /> Phone 916-565-4370 / FA 91 -563-4 "6 o w <br /> L <br /> Sampler's Signature v <br /> Z REMARKS <br /> Sample LAB Sample 1 Container Types <br /> I D 13to Time I D Matrix Tedlar Preservations <br /> INFL a ? ovo Air 1 1 <br /> EFFL Air 1 I <br /> RELINQUISHED BYRECEIVED B1 REL[NQUISHED B) RECEII'ED Bl' TURNAROUND REPORT REQU[RUNTENTS <br /> , REQUIREMENTS X I Routine Report <br /> gnat Sign Signature Signature 24 hr 48 hr �day 11 Report(mc€udLs DUP MS <br /> r X Standard(-10 15 i+orl ing days) MSD,as required mat'6e <br /> anted Name Panted Maine Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> Tim Wribht WIL +Ce+-" ProyrdeFAX Preliminary Results Il[ Data Vandatioa Report <br /> Firm Fir Firm Firm Requested Report Date (includes All Raw Data) <br /> Shaw E&I Inc � RWQCB <br /> Date/rime Datell'un D 5VO Date/Time Date/Time (MDLs1PQLs/TRACE#) <br /> REL i HED BY R CEI ED BY Special Instructions/Cominents Container Types Key <br /> 40 ml VOA 1 <br /> Signature Signature 123 nil LP£ 2 <br /> Sparser Tech X00 ml LPE 3 <br /> Printed Name Printed Name 3030 Fite Circle,Ste 112 1 liter HDPE 4 <br /> Sacto,Calif 95827 500 ml glass 5 <br /> rim, Firm 916-362-89471 Fx 362-0947 1 liter glass 6 <br /> 2x6 s/s ring 7 <br /> Date/Time Date/Time glass jar 8 <br />
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