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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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Section I <br /> Chain of Custody and Analysis Request me-LO-1 . <br /> � � <br /> Turn Around Time -, superior Precision,analytical, Inc. <br /> Consultant �&^ � <br /> 111 <br /> (circle on°) P O Box 1545 <br /> Address 1 S77a- .3 Same Day 72 Hrs Martinez Caliromia94553 <br /> C 6�.'p� 33 24 H Martinez 1(510) 229-1512 Martinez 2(510)229-0166 <br /> Phone No. `S` No. C7 <br /> Normal � Day SanFranctsco 14 IS)647-2081 <br /> Project Manager � � <br /> Alternate Confect Q e` Sampler: Pte' <br /> Project No. <br /> P.O. No. �, -1 '--� _ Regulatory Agency: <br /> Section 11: Analysis Request _ Sampling Remarks <br /> G <br /> . ` Bto-remedation <br /> 4 4 X , , ® Underground storage tank <br /> ❑ Monitwng <br /> in <br /> a3 E E <br /> Laboratory r m �; E] Recent Colttartunation <br /> Sample b a) $ a a g `a z ❑ Unknown Compounds <br /> Identification Matrix EA EAE C0 o <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> s <br /> 7 <br /> s <br /> 9 <br /> 10 <br /> 12 Date/TrrnsLob please inWal <br /> Reby Date/Turie Recervad by (�f.�f7� a Sam !ss Stayed in toe �i9�..,,�� <br /> Organization ' D�jb organizationP <br /> Date/Tmw Appropriate <br /> Preserved era <br /> Relinquished by Daw/Trme Raceivgd by Samples <br /> Or,genization -ic- Q eruzet+on VUs wrthout Headspeoe <br /> f3ate/l"rme paminred by Date ime I is <br /> Relinquished by <br />
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