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ARCHIVED REPORTS XR0009841
Environmental Health - Public
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EHD Program Facility Records by Street Name
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EL DORADO
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3430
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3500 - Local Oversight Program
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PR0544710
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ARCHIVED REPORTS XR0009841
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Entry Properties
Last modified
7/30/2019 1:56:52 PM
Creation date
7/30/2019 1:11:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009841
RECORD_ID
PR0544710
PE
3528
FACILITY_ID
FA0006247
FACILITY_NAME
Western Lift
STREET_NUMBER
3430
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
17525063
CURRENT_STATUS
02
SITE_LOCATION
3430 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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k� IIIIIIIIIII- IIIIIIIII, -1 <br /> -- ANALYTICAL REQUEST/SAM CHAIN,,OF CUSTODY— LAB TRACKING # .a69 <br /> d <br /> RECORD OF DATE RECTEVED <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES L+$ INvoT To . <br /> 10674 OLIVE AVENUE,OAKDALE,CA 95361 .. s..._... P ..._. <br /> FAX (209)$47-7744 1 PH#1 ( � .�1NTACTi3p..L�. _.....r........_..._.._....._.,... <br /> CALIFORNIA CONTRACTORS LICENSE 0 657366!CLASS"A"ENGINEERING r <br /> OOI A O .-�------------------------------ <br /> `f11 I'�IjI II IiI,��II!1„'f!`iliii;i;l!iiilll lil hl�!II�l;Illlq; II jl!!(ifJ{fll i t'!!I!!I�!ilE!II 11'1111!�I�I,IIII I i�ll��ilil!!!'��!!I��illiiiii Ilj;lll!II, l'`'{'III!fll I,'!'!`I!!`II!li!,'ff'{;,'1!ii!ii ilii!d 1'il{I'!III LAB.ANALYSIS REQUESTED SITE SAMPLING MAP <br /> CUNT ( CONSULTANT <br /> SITE NAME ( PROJECT l t� a <br /> ADDREss i CITY ST O <br /> SAMPLI.R SIGNATURE pi <br /> G C ro Ey O o <br /> Sf�vu (' AYBIILL# <br /> e � ep,, a <br /> ANALYSIS BY TURNAROUND TIME '� DAY + W w $oo W � <br /> IN <br /> "'�l SAMPIRID# DATE TIMEFCONT"FNE7 TYPE MATJUX Illlli Il'lll 111111 !Bill! iiiiil IiIIP fliijl lilill Illiill ii{! REMARKSILAB LDMIN <br /> r <br /> Z, pIt <br /> 3) — <br /> � o �, <br /> 7) <br /> s) �.D <br /> s) \' 61m Lt> >a t. <br /> 10) <br /> 11) <br /> 12) <br /> 11) <br /> 14) \ <br /> Is) <br /> D TE! <br /> RELINQUMM BS la� S �O REKENED BY /a (v d PLE INT G /CONDITION <br /> (SKINATURE) )” ( s �� ^-^ � RECEIVEDCOLD&INTACf!YES NO ( <br /> R&lNgUtWM BS RBCUVED 91 DATE lTVM£ AIR BUBBLES IN V 6 AS /YES NO LINE(S) 0 <br /> I (SMAAnME) CUSTODY SEALS INTACT'/YES() NO( NIA f ) <br /> DAn I TIME <br /> REI.BVQUISF�7D Bl RBLFIYED BY PRESERVATIVES USED / YES NO <br /> JiMQU) 1 (SMATURE) JUAMQSI &i/. <br /> NOTE PLEASE ARCHIVE THE SAMPLES SUBMITTED FOR THE FULL.HOLDING TIME ALLOWED UNLESS OTHER ARRANGEMENTS ARE MADE � (M T BE,TA ME,E T.B.E.,D LP.E„T.B.A) <br /> B B =BAILER BI ANKS COLLECTED IN THE FIELD F B =FIELD BLANKS COLLECTED IN THE FIELD <br /> PINK FIELD COPi WHITE&1 ELUM TO LAB WITH SAMPLES S ELLOVI RETURN TO CLIENT M ITII RESULTS DEL TITCH C 0 C FORM 98 <br />
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