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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 Chain of Custody and Analysis Request <br /> } From: Superior Precision Analytical, Inc. Turin Around Time <br /> 1555 Bunce St. Unit <br /> (aide ones Superior Pretlsion Analytical, Inc. <br /> San Frarimco, CA 92124 Same Day 72 Hrs PO Box 1545 <br /> Phone No. (4151647-2081 Fax No. (415) 821-7123 24 Hrs 5 Day Martinez, California 94553 <br /> 48 Hrs 10 pay <br /> Contact: Up�, <br /> P.0. No. -r fi z- -- Work Subcontracted to: A)A)& �-- <br /> Section Il: Analysis Request <br /> Sampling Remarks <br /> Chevron <br /> a8 v <br /> C-1 0 Non-Chevron <br /> Laboratory N " r Client <br /> Sample 03 3: �.� , o m Sample E N * *Please Fax Results* <br /> Identification Matrix 2 v m OM Al <br /> F <br /> ' Identification z Q <br /> 2 <br /> 4 <br /> 5 ' <br /> s <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> Relinquished by Data/Tin-* Racerved by � Lab please inrtial f Iowing: <br /> organ�zatron �3 [?rganu'a>�on 0'�� 4, 5ampfes Stored lca <br /> Relinquished by Date�me Ramved by Date/Time Appropriate Containers <br /> enuetion o rrrzapbn Samples preserved <br /> vows vrntl,out l�iaadspace <br /> Relinquished by - - Date/Trnie Received by Dete�me Comments G-- � <br /> 0naft.. Organization <br />
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