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ARCHIVED REPORTS XR0006523
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 XR0006523
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Entry Properties
Last modified
8/21/2019 3:52:58 PM
Creation date
8/21/2019 3:04:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006523
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 /> Consultant �ge�aF1 <br /> — hPr-� Turn Around Time <br /> Address /��� El <br /> Superior Precision Analytical, Inc. <br /> S kP� (circle one) <br /> 7 7�—C��3 Same Day 72 Hrs P o � 1545 <br /> y E6��- Martinez,California 94553 <br /> Phone No. No" C�'� �2-a��3 24 His <br /> Project Manager Gcz�: c�tfc� Normal 5 Da Martinez I(S 10)229-1512 Martinez 2[5101229-0166 <br /> •-- Y SanFrarxisco(4151647-2081 <br /> o Alternate Contact u /ew Sa <br /> C. cc�r <br /> Project No. 1 6�3 P.O. No. ��- 2� ReguletAl-y Agency: <br /> Section ll: Analysis Request <br /> Sampling Remarks <br /> � � C <br /> ax — rc ❑ Bio-remediation <br /> 0 �' ❑ Underground storage tank <br /> Laboratory ■ �. £ its ® Monitmng <br /> Sample �' m ado Wo o �: 9 W e <br /> �- v g w I ❑ Recent Contemma on <br /> Identification Matrix B g 0 CU a <br /> E E E � � ct1 � <br /> m as a a a t•- 2 ❑ Unknown Compounds <br /> 2 mw 6 CIL- <br /> 3 3 <br /> 4 <br /> e7 <br /> 5 <br /> fi <br /> 7 eve, g3 • rr <br /> 8 <br /> s <br /> 10 <br /> 11 <br /> 12 <br /> Rehnqumhad by � /Toile Reowmd by Dare/T'"ne Lab lease initlal,the following; <br /> Oigantzatro" — �'l Organisation P <br /> Samples Stoned is 100" "., <br /> Relinquished by Data/Tirm RecsmW by Date/rrm APprapnm Cmtaners <br /> O ar+ttatson <br /> Orgarazatmn Samples Preserved <br /> VOAs without Headspace <br /> Relinquished by Date/Timo Rocenred by Date/rime Comments <br />
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