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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 l Chain of Custody and Analysis Request Page cf_ <br /> Consultant I eSfer7 Cameo-97nq;rleer5 _ Turn Around Time Superior Precision Analytical, Inc. <br /> Address _130=28 r r, (Grr.3e one) <br /> P 0 Box 1545 <br /> j �7 - _ Sarno Day 72 Hrs Martinez.California 94553 <br /> Phone NoPQ Q C41- 5 3&V -BX No. C// ay-o-)-Z3 24 Hrs 48 Hrs Martinez 1(5 101 229.1512 Martinez 2(510122"166 <br /> Project Manager Normal 5 Day SanFranusco(4 1 5)647-2081 <br /> Alternate Contact�Om�w Sampler: <br /> Project No. P.O. No. Regulatory Agency: 00F Y <br /> Section 11: Analysis Request <br /> a <br /> Sampling Remarks <br /> C <br /> d _ g ❑ Bio-remodation <br /> X <br /> ❑ Underground storage tank <br /> 53-monitoring <br /> Laboratory , cc <br /> Sample `n m CO CO 0 Q C = r- co ❑ Recent Contamination <br /> 12 L <br /> Identification Matrixg m m bi <br /> v o z ❑ Unknown Compounds <br /> 1 <br /> 2 Af U/- <br /> 3 <br /> t/- <br /> 4 <br /> 5 #1 AA I-A Azk <br /> 6 AgAe! , -d4 el l S:!o 1 !V <br /> 7 W& <br /> B <br /> 10 <br /> 1'1 <br /> 12 1 <br /> Relinquished by /Tffne Reeved by Dace , Lab please initial the following: <br /> OrganizationM =.4-Kms_ orga=auSamples Stored in ke <br /> Ralm0shed by Dato/rvrie Received by Data/Twne Appropriate Containers <br /> Samples Preserved <br /> 0 snizatan 0 aniroGon VDAs vrrtfiout Headspaoe <br /> Relinquished by Dato/TH= RecemA by Date/Timo Comments <br />
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