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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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DUCK CREEK
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3633
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2900 - Site Mitigation Program
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PR0522088
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Last modified
7/3/2019 4:54:00 PM
Creation date
7/3/2019 2:54:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0522088
PE
2950
FACILITY_ID
FA0015050
FACILITY_NAME
RYDER TRUCK RENTAL
STREET_NUMBER
3633
STREET_NAME
DUCK CREEK
STREET_TYPE
DR
City
STOCKTON
Zip
95215
APN
17331001
CURRENT_STATUS
01
SITE_LOCATION
3633 DUCK CREEK DR
P_LOCATION
01
QC Status
Approved
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EHD - Public
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' <br /> FREY Environmental, Inc. mjed Name CHAIN-OF-CUSTODY <br /> Ryder-Stockton Analysis RECORD <br /> ' <br /> 2817-A Lafayette Avenue Projed Address Y 3633 Duck Creek Drive a �_ m y Page 2 of 2 <br /> c Laboratory Project#: <br /> Newport Beach, California 92663 Stockton, California ¢ m € n <br /> Pmjed Number <br /> 3 h c <br /> ' Phone:949.723.1645; FAX:949.723.1854 � �' ° �� <br /> 053-60 a; m o m @ U <br /> Sampler Name: 3 2 N to O 2.j,3 <br /> Contact: Evan PrivettT. Kinn o , S o a <br /> x <br /> Sample ID Sample Location Date Time ID fo F F m ti Z Comments <br /> 132-15 20-May-04 1642 26 1 S X X X X 1 1 (1)Sleeve <br /> ' <br /> 132-20 20-May-04 1649 27 S X X X X 1 <br /> 132-25 20-May-04 1654 28 S X X X X 1 <br /> B2-30 20-May-04 1700 29 S X X X X 1 <br /> 132-35 20-May-04 1707 30 S X X X X 1 <br /> ' 132-40 20-May-04 1710 31 S X X X X 1 <br /> ' Turnaround Time:On-Site Mobile Laboratory;samples were relinquished on the date(s)/times shown above. <br /> Sample Condition: Chilled? Y ! N Sealed? Y / N Comments: <br /> Relinquished by T. Kinn Received by Bri n /K/ato Special Instructions: <br /> ' si re: X usignature: X l— <br /> of FREY Environmental, Inc. of Baseline Analytical Services <br /> _QA CJC1 MVAC P. O. Box 2243 Phone: (888) 753-7553 <br /> �AWA A✓9.t.i■ WMw <br /> Huntington Beach, California 92647 FAX: (714) 840-1584 <br />
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