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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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/l (�< f,� <br /> [jSec7tion <br /> Chain of Custody and Analysis Request pa. -91cf-L <br /> Consultant G�leg,� " <br /> _/�7- Turn Around Time Superior Precision Analytical, Inc. <br /> Address � °r (circle one) P O Box 1545 <br /> Same pay 72 Hrs 13 Martinez, Cahfomia 94553 <br /> ,� N0. 24;66-r—m <br /> rs Hrs Martinez 1 (510) 229-1512 Martinez 2(510)229-0166 <br /> 'Phone No al5 Da SanFranusco(415)647-2081 <br /> Project Manager G Cr <br /> Alternate Contact /eY Sa er: !� /r-? <br /> Project No. gni 23 _P.O. No. Regulatory Agency. <br /> Section If: Analysis Request Sampling Remarks <br /> c <br /> DB1n-mmedation <br /> L X Q ❑ Underground storage tank <br /> a Monttmng <br /> m <br /> Laboratory R ` e Recent Gontanunaton <br /> SampleoCD Co CD a g co CO <br /> Unknown Compounds <br /> Identification Matrix E Efa 9 5E <br /> CD O 0 �' v O ° �' Z <br /> k '' <br /> 2 <br /> 3 <br /> q <br /> 4 � 7`7 <br /> 6 <br /> Il�S` 3 YO <br /> 77 !gip 3 YDS <br /> 8 � Ii773 Y <br /> 10 W r xi <br /> 12 l pate/ -tea <br /> Relinquished by D <br /> ate pie Recopied by r;� Lab please initial the following: <br /> 0 an¢ation <br /> arganixation ' 3 Samples Stored in <br /> Re1tn utshed ley <br /> Date/Time Reserved by Da ts»e APP�'QP <br /> q Samples Prerar+red -- 1 <br /> rRelinquisshed <br /> anaation 1� aruxaGon VOAs without Headspaoe <br /> Date/% Racervedby toc«nn,ants by _ V <br />
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