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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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Section I Chain of Custody and Analysis Request { <br /> Consultant klevferrTurn Around Time <br /> Address —` �Y r (aroma one) Superior Precision Analytical, Inc. <br /> W,P-a d_L% +��1_�" Y2Z_7_ _ Same Day 72 Hrs p O Box 1545 <br /> ' Mamnez, California 94553 <br /> Phone No Cr+s)b'6�_ S3��c N0. �/ �Cz~ OZ , 3 24 H '� Hrs Martinez I(SIO) 229-1512 Martinez 2(510J Z29-0166 <br /> Project Manager � Normal 5 Day SanFrancuco 14151647-2081 <br /> Alternate Con ct Geoff r e Sa <br /> Project No. - O`3 P.D. No. V-000.2-r _ Regulatory Agency• <br /> Section p: Analysis Request <br /> Sampling Remarks <br /> a ` x E:] BiO-remediation <br /> 2' ❑ Underground storage tank <br /> 0m = <br /> Laboratory ' n onitornng <br /> o -o o <br /> Sample `n co to coo Y- O a m <br /> W Recent Contamination <br /> IdentificationCU <br /> Matrix z' ❑ Unknown Compounds <br /> 2 . 2 !rte Y t <br /> 3 3 <br /> 4W ! 7 <br /> w-� ii 7 <br /> __!Z3 7 <br /> 7 <br /> 12 /;Z 1 >� <br /> Relinquished by C(/. Dat�YOrganLzavon <br /> T Received by W pays <br /> organtzat,on �/ G •Z/�� �7 1;14y 17 10 Lab please initial the following- <br /> samples <br /> samples Stored in lee <br /> Relinquished by _c_., Date/Tme Rec vod by Date/Time Appropriate Contanam <br /> Organization organuation Samples Preserved <br /> VDAs without Headspace <br /> Relmqutshed by Date/T" Roomed by Date/Time Corntnenm <br />
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