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INSTALL 2019 TANK TOP UPGRADE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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FREMONT
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2300 - Underground Storage Tank Program
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PR0231104
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INSTALL 2019 TANK TOP UPGRADE
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Last modified
9/22/2021 10:12:36 AM
Creation date
3/4/2019 4:21:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2019 TANK TOP UPGRADE
RECORD_ID
PR0231104
PE
2351
FACILITY_ID
FA0003863
FACILITY_NAME
SOHAL #3
STREET_NUMBER
2494
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15328008
CURRENT_STATUS
01
SITE_LOCATION
2494 E FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Laboratories Inc. <br /> Environmental Testing Laboratory Since 1949 <br /> Chain of Custody and Cooler Receipt Form for 1904878 Page 2 of 3 <br /> Sr,LABORATORIES neat, COOLER REC�JPT FORM Pae Of <br /> Iabrnigglon #. <br /> SHIPPING JKFORMATION SHIPI MI IG CONTAINIER FREE LIQUID <br /> Fed U ❑, UPS❑ Ontrav❑ Hand DEUwcry Ice ClleNone 0 Box [IYES Q NO ❑ <br /> BC Lab Rigid Serwlce 0 811wr CJ rsPovifyJ 011rar Q pecify] f n <br /> Refrigerant: Ice'❑ Blue lea a 1Jpgt Other❑ Comments: <br /> Custody SealsWaw eta—1 L efrje!I'S.❑• hlorl»l omrnente: <br /> sill Rehtpdes recclvad? YetF Nti d All eamplas contprnWF intact? Yes na❑ D&Leflp#lon{al m tch COC? YNc Na 13 <br /> Received ErnFealY: Con�aing 7netet 1 Datcfrmte <br /> $ D NO +I ' <br /> T rature: l A l °C r i 0 1 k *C Anglol IN <br /> SAMPLE rmmmiz <br /> SAMPLF,C0WTA4hLkr <br /> QT <br /> PJC <br /> $x!&oxli4x F'E tR,TRES <br /> fax iY' <br /> 7INURCANICnLnrErrxi <br /> 1NOROAr4ic!! LFAErAJE4axi&e FJiox <br /> PT CYANIna <br /> FT'241Tk4G�r MOFh7 <br /> HAMNOLX9 L. <br /> h45>I71.Fi.T7r — <br /> FiTOTAL CCa7urQN . <br /> PT C�l3CMJCA4 D6tAANo <br /> 4lralVOA V1ALixAVr3.9 YK <br /> 4grrgYQAVUL <br /> rr a <br /> RADIGLQgEAL <br /> ekt•realrn SC�4I. <br /> 40061TDAVIAI-501 <br /> s2A <br /> ., ra;PASIa.J <br /> r S15 <br /> r LVA US TRAVAL RT.gpK <br /> "MI EPA aft <br /> *Ma]PA 531.1 <br /> ME Y.PA 54 <br /> . rlsrAsaa <br /> 10T <br /> 6PASM6 <br /> Bor F 16ar Max A MFR <br /> 6ux F16o¢F3�o¢ k� <br /> ,isT,l'l"VJIt <br /> P V! fS ...'.-- <br /> rLAsrnC UAG <br /> TBarrlte <br /> gmkOus <br /> ENCOM <br /> S MAWr xrr — <br /> S2AMk CdHL"JZk <br /> Commorrts- _ <br /> Sarnpre fferMering CamPleUd 6y:' n ULMemme 3mV xt osxr eats <br /> .A - Aalual a C = Cwneted '5est wx+PWrw� lanM 'xnec w m� <br /> The results in this report apply to the samples analyzed in accordance with the chain of custody document.This analytical report must be reproduced in its entirety. <br /> All results listed in this report are for the exclusive use of the submitting party. BC Laboratories,Inc.assumes no responsibility for report alteration,separation,detachment or third party interpretation. <br /> Report ID: 1000854621 4100 Atlas Court Bakersfield,CA 93308 (661)327-4911 FAX(661)327-1918 www.bclabs.com Page 4 of 40 <br />
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