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ARCHIVED REPORTS XR0006329
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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6425
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2900 - Site Mitigation Program
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PR0519189
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ARCHIVED REPORTS XR0006329
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Entry Properties
Last modified
8/21/2019 4:12:56 PM
Creation date
8/21/2019 2:27:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006329
RECORD_ID
PR0519189
PE
2950
FACILITY_ID
FA0014347
FACILITY_NAME
CURRENTLY VACANT
STREET_NUMBER
6425
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741031
CURRENT_STATUS
02
SITE_LOCATION
6425 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
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EHD - Public
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Section Chain of Custody and Analysis Request <br /> psgn of_ <br /> Consultant Ve5ferri Geo-j5ng,nP.er5 Turn Around Time Superior Precision Analytical, Inc. <br /> Address 13 R C 5 -5 ' Qrc-- e,- Sir, (urs ate) <br /> 7 Same Clay 72 Hrs P O Box i 545 <br /> Martinez,Cahromia 44553 <br /> Phone No�+�64,Q- 5 3°* BX No. 0*2 G�2-- 0Z T 3 24 Hrs Hrs Martinez E{5101 229.1512 Martinez 2(slo)u9 o166 <br /> Project Manager -�--i;g lNormal 5 Day SanFrancaco(4151647-2081 <br /> Alternate Contact Cat Sampler: <br /> Project No. P.D. No. Regulatory Agency: <br /> Section 11: Analysis Request <br /> Sampling Remarks <br /> C- <br /> a _ tx g ❑ Bio-remediation <br /> X a X ❑ Underground storage tank <br /> V <br /> Cn u3 u� Q `� E'�lOnitOr{n� <br /> Laboratory r r, <br /> Sample `n CD m � o a `° c� ED <br /> ❑ Recent Contamination <br /> ldentificatlon Matrix E 0 CUcaa �' z ❑ Unknown Compounds <br /> 10 <br /> •PLf <br /> 2 Lcl- •• <br /> s POW- <br /> 4 <br /> 1 -4 <br /> s 14 ' a <br /> 6 IV <br /> 7 OW42Ar t N <br /> B <br /> 9 AIC� fil [) hA,C <br /> 10 <br /> 11 rJ err <br /> RelingumIxid by jA&&Y±i DqXa/TWM Roomod by >- Dato/rmo , Lab please initial the following: <br /> E7rgantzation "Ar, rt <br /> G•t'r. orgazauon -E" l/ Ul /s? Sampfas Swred in loo <br /> Relinqutshad by Date/Tuno Roc«vod by Date/T," Approprtete Cmtamacs <br /> O anQation O anuation Somplos Prasarvod <br /> VOAs without Hoadspaoo <br /> Rohnguishod by Doto/Timo Roca vod by Data/Timo Comments <br />
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