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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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5ectian ! <br /> L. Chain of Custody a AeAnalysis Requestou,- <br /> -i <br /> Turn Around Time Superior Precision Analytical, Inc. <br /> Consultant „ (ZI 1�rcle ) wka <br /> Addressl r �,, S7� P O Bax 1545 <br /> L C S-?7a_e ,� Same Day 72 Hrs Martinez, Cal�fomia 94553 <br /> ,2'a�73 24 H ;Martinez I(510) 229-1512 Martinez 2(510)229-0166 <br /> ,Phone No. �� N0' al 5 Day SanFranctsco(415)647-2089 <br /> Project Manager � tP <br /> Alternate Contact Q e� y Remulato A encu <br /> Project No. 63 P.O. Na 3-!. g rY 9 Y. <br /> Section ll: Analysis Request Sampling Remarks <br /> 0 <br /> G <br /> ❑ Bio-remecistion <br /> a L x i Underground storage tank <br /> a <br /> �I� _m = � Q � Monrtoreng <br /> CD a F E <br /> Laboratory ■ ' 0 0 0 � � � � a� � � EJ Recent Contnm,nation <br /> Sample 3 IV V a Q g m CS z E] Unknown Compounds <br /> Identification Matrix b Co M a <br /> ry?, D <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 8 <br /> 10 " <br />� 11 <br /> 12 Date/Tittye <br /> Relinquished by Date/Tat�e Reoaived by �f� Lab please initial the following: <br /> Organization r f og,� organization Samples Stored in ke <br /> Date/Turie er <br /> Appropriate contains <br /> Ralmq*Avbd kir j Date/Time Racarved by Samples Preserved— 1 <br /> 0 enrzetron O anrzatron VOAs without Headspace ----- <br /> Relinquished by <br /> �Dete//�TT-ww Received by Date/Time #dents <br />
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