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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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2494
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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 3 of 3 <br /> BC LAMORATDwE5 INC- COOLER RWOPT FORMA Of <br /> SLrbiniasjorr;Y <br /> SHIPPING INFORMATION SHIPPIUG CONTAINM r-Pt E LIQUID <br /> i ed @x ❑. UPS 0 Ontrac a Hand Pelh+try tce C4 Bona ❑ Box El YES ❑ NO p <br /> BG Lab Reld StrOcs ❑ Other❑ [Specify] Otber ❑ peeifyk.— <br /> f#eflF98rerrt: iC!a'❑ 8dneLGCO N—" Other Cromments, <br /> + tody Seals rc f sN ': }:, asR: 1,lanr omrnenm <br /> All sunlphe aal: iNy d7 Yes No d All snmplBc caMaln4rg jnEacr? Yes 90Fra❑ W triptlon(s]ma"000? Yet No rO <br /> COC Rbneived rml!; F Kp. Contarnc brnrterla: Peterriffle L ,' <br /> Tcm ¢.raturr: A] °C ! iO No ] 'C2 k AmrValin <br /> SamPLE raurMER5 <br /> S13h4Ft.6[:nraTAIwF.RS <br /> t 3 6 s 7 a a io <br /> T UNPRPA <br /> 4W1t16��r' Uf+'1'RPo <br /> r [,lCCl rnI T,murALS <br /> rr, +.l�M7CAt. LS�oxl�¢l!Isom <br /> FT t rAM <br /> r>t NErxoc�e <br /> A L SULYMR <br /> tom-N14 78 fNCi`$P1B <br /> PY'T035YT lit{�C <br /> r r r Y rtFATPa DUN <br /> a Ielvp�YrAL1RA MANX <br /> arm[ S'7AL <br /> l¢PA! 64 <br /> I r 01Dd& <br /> RhDIOI/�L`7 <br /> ---ai� <br /> &U'tt�xrO�T hL <br /> �0 m7 V00.VL irs <br /> BYA saR��a49d <br /> F,WA S15.L& <br /> !CPA <br /> T AS23TaAu8 s[..iraF€ <br /> — vGw,I.SP�6p . <br /> -0Om]E MLI <br /> IM CPA SA <br /> qff EPA 50 <br /> EPA 801S11t <br /> T NPAL 970 <br /> 9amflrieml3Do K111M <br /> > <br /> JAR <br /> M su> A r Pr <br /> PCB vIOLL >�C <br /> MAS=r <br /> c <br /> ROMMON <br /> E�caaE� <br /> SUART 93T <br /> s 4 csrsk <br /> �`efnmcrrt5-_ <br /> $ample Frumbcring 6bmplood 6y: 7etei rlrrwr raw x, osrl adl <br /> t4 a Ac[ual t 0 = CwrBGted lirr drF.lrodn[.c�OoaYv.�rns5!wneo.F]� <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 5 of 40 <br />
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