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ARCHIVED REPORTS XR0006357
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 XR0006357
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Entry Properties
Last modified
8/21/2019 4:07:50 PM
Creation date
8/21/2019 2:30:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006357
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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0 <br /> section I Chain of Custody and Analysis ysis Request <br /> Consultant e fern Geo- �„ en's 0(k <br /> Address � Turn Around Time <br /> q. /� 6, r, (circle ono? ! Superior Precision Analytltal, lnc. <br /> / Z2 7 7 Sams Day 72 Hrs P 0 Box 1545 <br /> Phone No C,!s - s 2 &x No. 24Martinez, California 94553 <br /> Project Manager Ro 7`a's, Normal 5 De Man+nez 1(5 101 229-1512 Martinez 215101229-0166 <br /> Alternate Contact G+ro y SanFrancrsco(4151647-2081 <br /> r e Gt. , •f► �! <br /> Project No.��o3 P.O. No. �-000, Regulatory Agency: -42% <br /> Section li: Analysis Request � <br /> a _ � a <br /> Sampling Remarks <br /> C <br /> a x U ❑ Bioremediation <br /> Underground <br /> Laboratory ; 3 r Lo sn m _ BQ 81'9 and storage tank <br /> r <br /> Sampler ❑ Monrtoring <br /> co m o U <br /> 4 <br /> Identification Matrix o N Q ai ai c6 r� ElRecentContamination <br /> E E w ao v `- o <br /> + 1 . ¢ 17;)w v t, J~- z' ❑ Unknown Compounds <br /> 2 <br /> 3 <br /> a <br /> 5 <br /> 6 <br /> 7 <br /> 9 <br /> 10 <br /> 11 <br />� 12 <br /> Ra4nquished by Dater/Trme Rece+vacf by <br /> Organization /.r Data/Tur�o <br /> orBan¢atron Lab please initial the following; <br /> FRelinqtimhed by Date/rvm Recervod by Samples Stared in loo <br /> taon Data/rwne �ropriate Contanersa emrataon samples Preserved <br /> hed by Dato/Tirrw Rocenroci by VOA&bout Headspaoa <br /> Data/Timo Conxnents <br />
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