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ARCHIVED REPORTS XR0006539
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 XR0006539
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Entry Properties
Last modified
8/21/2019 3:46:43 PM
Creation date
8/21/2019 3:08:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006539
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 Custod1v and Analysis Request McLafL <br /> Consultant we "Y�L- G -�.�,heekl Turn Around ) Superior Precision Analytical. Inc. <br /> Address t� �a�.Tsar S� (circle one) P O Box 1545 <br /> ala G,A, ys,77�_6� Same Day 72 Hrs Martinez,cal,fomia 94553 <br /> �. a�7 24 Hrs 48 Hrs <br /> Phan <br /> e No l6 6d=f x No. G� 6 Martinez 1(510)229-1512 Martinez 2(5101229-0166 <br /> ranc�sco 415 647-2081 <br /> Project Manager e �e�e ormal 5 Day SanF ( 1 <br /> Alternate Confect Samp e . <br /> Project No. R603 P.C. NO- W-000, Regulatory Agency: <br /> Section tl: Analysis Recluest <br /> Sampling Remarks <br /> r o <br /> ElBio-reme ation <br /> X ElUnderground storage tank <br /> 3 m 'E Manrtonng <br /> Laboratory o 0 0 �i cn Recent Contamination <br /> Sample a'3 — m 9t <br /> Identification Matrix E rd o z' Unknown Compounds <br /> E E E <br /> 1 J1cou/7- <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> s <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> Relinquished by a�'-� ts/'r, Received by ���m Lab please initial the following: <br /> Organization u'� G�` e�f y� Drgaruzat+on --�—~– �' samples Stared in ice <br /> Date/Turtie Received by Dete/Tarra Appropriate Containers <br /> Relinqu��ed by `- -- Samples Preserved�— <br /> Organization orasnizatiion VDAs wrthout Headspace <br /> Relinquished by Date/Time Received by Date/Timenx <br /> Conents <br />
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