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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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Alk J4 0 M�5 CT <br /> Section ! <br /> Chain of Custody and Analysis Request McLdl <br /> Consultant (it.77TC.1—Ice. - . P Turn Around Time -- Superior Precision Analytical, Inc. <br /> Address !3C2� E_ &aemL7�±W (Covie one) 1a o sox 1545 <br /> cz,t-�I-vrd CA, gs77G-baa? Same Day 72 His Martinez,California 94553 <br /> PhoneNo /6��6� °iO FAX NQ. G7 Gz7,2-7 24 Hrs 48 Hrs Martinez 1(510)229-1512 Martinez 2(510)229.0166 <br /> Project Manager 6� ormal 5 Day SanFranc sco 141 S)647-2081 <br /> Alternate Contact46 <br /> Project No. 8603 P.O. No. '73-�-�'-5 Regulatory Agency: -' . 4,�, <br /> Section I{; Analysis Request <br /> Sampling Remarks <br /> ca 1p <br /> — ❑ Bio-remedation <br /> 4 g x ❑ Underground storage tank <br /> 3 = a ,� Monitoring <br /> Laboratoryr; ' r• 1t E Contamination <br /> n 3 0 0 0 a� m Recent <br /> Sample W m is o o — �' <br /> P m (a E ❑ Unknown compounds <br /> Identification Maui.( Fm o o �- z <br /> EYE wf Pit <br /> 7.71- <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> s <br /> 7 <br /> s <br /> s <br /> 10 <br /> 91 <br /> 12 Lj <br /> Relinquished by 2'>' � te/Tirm Recendd by oate/rR,� Lab please initial the following: <br /> OrganQation r e°`l -0 1'a 0rgarnzat+on Samples Stored in Ice - <br /> erwd <br /> Relinqurshed by Date/T Received by Dete/Tnrie Appropriatep� x <br /> Organization /� 0 anizetion 3 /Z• �lA without Headspace <br /> Relinquished by Date/Tum pmfvod by Da /Ti e Comnents <br />
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