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ARCHIVED REPORTS_XR0006800
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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6131
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3500 - Local Oversight Program
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PR0545003
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ARCHIVED REPORTS_XR0006800
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Last modified
11/27/2019 11:42:45 AM
Creation date
11/27/2019 11:06:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006800
RECORD_ID
PR0545003
PE
3526
FACILITY_ID
FA0002324
FACILITY_NAME
Pacific Service Station
STREET_NUMBER
6131
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09746418
CURRENT_STATUS
02
SITE_LOCATION
6131 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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• <br /> BLAINE 1680 ROGERS AVENUE CONDUCT ANALYSIS TO DETECT LAB w� 4. DHS# - <br /> SAN JOSE,CALIFORNIA 95112-1105 ALL ANALYSES MUST MEET SPECIFICATIONS AND DETECTION <br /> FAX(448)573-7771 LIMITS SET BY CALIFORNIA DHS AND <br /> TECH SERVICES,INC PHONE(408)573-0555 ❑ EPA <br /> ❑ RWQCB REGION <br /> ❑ LIA <br /> CHAIN OFL�r /� [ ❑ OTHER <br /> �,/ Q� <br /> CLIENT z SPECIAL INSTRUCTIONS <br /> E uiva-Karen Pelryna a <br /> sITE6131 Pacific Avenue o � Send invoice to Equiva <br /> Stockton, CA a F �, Incident # 98996189 <br /> NCq v a Send report to Blame Tech Services, Inc c' <br /> MATRIX CONTAINERS 0. -a ATTN• Ann Pember f <br /> -I <br /> CLW <br /> SAMPLE I D DATE TIME rig TOTAL u P H O AOD'L INFORMATION STATUS CONDITION LAB SAMPLE# <br /> �• - i CrSd ' �� �� i� Z L <br /> --�t,•r- T Ir 1� � ' <br /> eL lot <br /> i <br /> SAMPLING LOATE TIME SAMPLING RESULTS NEEDED <br /> COMPLETED Z tia C ')j4 PERFORMED BY `V, NO LATER THAN <br /> RELEASED BY DATE ITIME RECEIVED BY I DATE ITIME <br /> RELEASED BY � - ` DATE ITIME �RECE;V � DATE ITIME <br /> ELEASED DATE �7 TIME ORECEIVED BY DAT TIME <br /> HIPPED VIA DATE SENT ITIME SENT COOLER# <br />
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