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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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VAL DERVIN
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107
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2200 - Hazardous Waste Program
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PR0505919
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COMPLIANCE INFO
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Last modified
11/6/2024 12:58:01 PM
Creation date
3/20/2019 10:35:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0505919
PE
2220
FACILITY_ID
FA0007083
FACILITY_NAME
B & C PAINTING SOLUTIONS INC
STREET_NUMBER
107
STREET_NAME
VAL DERVIN
STREET_TYPE
PKWY
City
STOCKTON
Zip
95206
APN
19337005
CURRENT_STATUS
01
SITE_LOCATION
107 VAL DERVIN PKWY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2220_PR0505919_107 VAL DERVIN_.tif
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EHD - Public
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dhari-oilaitiaz%%,a.stereinova 1.com j)raL)ozc)(ibhazNasteremoval.com p freniouw'd.hazwasteren iova I.coin <br /> McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> 1534 WILLOW PASS ROAD TURN AROUND TIME Q <br /> PI*ITSBtTRG.CA 94565-1701 RUSI 1 24 HR 48 FIR 72 1IR 5 DAY <br /> Website:www.mccampbell.com Email: main@mccampbell.com <br /> Telephone:(877)252-9262 Fax:(925)252-9269 GeoTracker EDF Q PDF Q Excel U Write On (DW)M <br /> 1� Check if sample is effluent and 11 ag is required <br /> Report To: Bill To: Fremouw Environmental Svs Analysis Request Onher Comments <br /> Company: Fremouw Environmental Services,Inc. <br /> 6940 Tremont Road,Dixon,CA 95620 Filter <br /> Samples <br /> E-Mail: <br /> oil <br /> for Metals <br /> Tele: 707 448-3700 Fax: (707 448-3499 -z <br /> 'S' <br /> V < analysis: <br /> Project#:62965 Pro' ct Name: B&C Painting + b I i p t Yes No <br /> Project Location: 107_Val Dervin Pkwy Stociton,CA 95206 <br /> Z I N -t <br /> SaInDler Shnature: 14" <br /> U SAMPLING E MATRIX METHOD t <br /> PRESERVED v I z i :51 <br /> LOCATION/ <br /> SAMPLE ID z ;z <br /> Field Point <br /> Name Date Time 1 <br /> if U <br /> lu 7E P - <br /> S <br /> U 1=1 1 <br /> t r 3 ! <br /> 10 <br /> BC-001 S I X! X X <br /> >L <br /> A <br /> bed By. Dpte: Time: Received By: ICE/t° <br /> AIrs—* GOOD CONDITION_ <br /> L(121— 11YI-0 HEAD SPACE ABSENT <br /> FRelinquished By: —5Fit.- Time: Ike y: DECHLORINATED IN LAB <br /> APPROPRIATE CONTAINERSA, <br /> PRESERVED IN LAB <br /> Relinquished By: Date: I Time: Received By: <br /> VOAS O&G INIETALS OTHER <br /> PRESERVATION <br /> Page 7 of 7 <br />
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