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ARCHIVED REPORTS XR0006535
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 XR0006535
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Entry Properties
Last modified
8/21/2019 4:39:52 PM
Creation date
8/21/2019 3:06:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006535
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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Y��f! Gfir�b� <br /> Section <br /> Chain of Custody and Analysis Request meld r <br /> Consultant ^ t��— ',�_ / Turn Around Time Precision Analytical, Inc. <br /> Address 57 <br /> ( de one) P p Box 1545 <br /> ZZjfF5-77a_65t:,3 Same Day 72 Hire Martinez,California 94553 <br /> Phone No, 'S` No. et *7 _ 24 H Martinez 1(510) 229-1512 Mardnez2(5101229-0166 <br /> Project Manager � rir.�f>r' Normal 5 oay SanFranmco 1415)647-2061 <br /> Alternate Cant-act e` Sampler: <br /> Project No. P.D. No. -0:22 Sr Regulatory Agency: ► ~' ti- <br /> Section ll: Analysis Request <br /> Sampling Remarks <br /> ' a <br /> Bio-remecEatlon <br /> QX Y �' , ® Underground awage tank <br /> can u� � � m = �, a � Monitoring <br /> E E <br /> Laboratory CO 3 0 o 0 � m r n Recent Contamination <br /> Sample m m M o o g W ca � <br /> Identification Matrix E E E . � v a o 2 z 1:1 <br /> Unknown Compounds <br /> c�-g Pdr <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> now - <br /> 11 <br /> 12 <br /> I [ I E± — F— <br /> Relinqurshed by <br /> Date/Tarre Received by D11/T a Lab please initial the following: <br /> Organ�etian rytj¢f O�jj� Or9anizat+on `�(S`-f�/ Samples Stayed in Ice <br /> Date/Tma Received by Mte/Tole Appropnete Containers <br /> Relinquished try Samples Preserved. <br /> Organization bVjpQ'qaArgarazetjon VOU without Headspece <br /> Relinquished by Tirr�e DetefRecenred by Date rine is <br />
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