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ARCHIVED REPORTS XR0006973
Environmental Health - Public
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EHD Program Facility Records by Street Name
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E
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103
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3500 - Local Oversight Program
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PR0544638
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ARCHIVED REPORTS XR0006973
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Entry Properties
Last modified
7/9/2019 2:50:26 PM
Creation date
7/9/2019 2:17:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006973
RECORD_ID
PR0544638
PE
3528
FACILITY_ID
FA0004027
FACILITY_NAME
HENDRIX FORK LIFT INC
STREET_NUMBER
103
Direction
N
STREET_NAME
E
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15318001
CURRENT_STATUS
02
SITE_LOCATION
103 N E ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SEQUOIA ANALYTICAL kP819 Striker A= Suite 8 - Sacramento, CA 95834 - (916)i921-9600U ^ 'FAX (916) 92, 233 <br /> U 404 N. Wiget L�Walnut Creek, CA 94598 - (925 988-9600 FAX <br /> U 1455 McDowef!1�Ci. North ) (925) 988 967 <br /> WO WAIN OF CUSTODY , Suite D - Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-0342 <br /> Company Name: <br /> U 1551 Industrial Road a San Carlos, CA 94070 • (650) 232-9600 FAX (650) 232-9612 <br /> ,• <br /> �0640,1 zle Project Name: <br /> Mailing Address: 3�3� Ae R Billing Address (if different): <br /> City: P State: G� Zip Code: <br /> Telephone: FAX #: �� �� P.O. #: <br /> c <br /> Report To: Sam ter: °3 <br /> ��+/'� U p �w� '41 QC Data: ❑ Level I! (Standard) ❑ Chromatograms ❑ Leve! !ll © Level IV <br /> v <br /> Turnaround U Standard ❑7 Working Days ❑2 Working Days U Drinking Water Analyses Requested c <br /> Time: 10-15 0 5 Working Days W 1 Workin Da ❑Wasle Water <br /> Working Days Z�h�y ,C1 <br /> 0 3 Working Days O ASAP 0 Other <br /> Client Date/Time Matrix # of Cont. Sequoia's 4v <br /> Sample I.D. Sampled Desc. Cont. Type Sample # Comments <br /> 2. -L �� ro� o <br /> ail <br /> 3. <br /> 0 <br /> a. <br /> 5. <br /> 6, <br /> 7. <br /> cu <br /> 8. o <br /> v <br /> 9. <br /> 10. <br /> Relinquished By: Date: <br /> tf L. Time:170 9 Received By: Date: Time: <br /> Relinquished q Date: Time: Received By: Date: Time: <br /> i <br /> Relinquished By: Date: Time: Received By ! t late: y Time: <br /> Were Samples Received in Good Condition? U Yes U No Samples on lee? 0 Yes 0 No Method I Shi m 1 <br /> Pane � of f <br />
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