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ARCHIVED REPORTS_XR0006803
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_XR0006803
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Last modified
11/27/2019 11:40:48 AM
Creation date
11/27/2019 11:06:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006803
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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0 a ? 1 <br /> 1680 ROGERS AVENUE CONDUCT A ALYSIS TO DETECT LAB DHS#BLAINSAN JOSE,CALIFORNIACALEFORNIA 95112-1105 <br /> - <br /> ALL ANALYSES MUST MEET SPECIFICATIONS AND DETECTION <br /> FAX(408)573-7771 LIMITS SET BY CALIFORNIA DHS AND <br /> TECH SERVICES,iNC PHONE(408)573-0555 ❑ EPA <br /> ❑ RWQCB REGION <br /> ❑ L#A <br /> CHAIN OF ❑ OTHER <br /> v� <br /> CLIENT z SPECIAL INSTRUCTIONS <br /> E u>va- Karen Petryna <br /> SITE 6131 Pacific Avenue ° Send invoice to E uiva <br /> Stockton, CA Q >, Incident # 98996189 <br /> r <br /> '= °O °° C ; Send report to Blaine Tech Services, Inc <br /> MATRIX CONTAINERS ° .o ATTN Ann Pember <br /> W a� <br /> cn = zi is, <br /> SAMPLE 1 D I DATE I TIME TOTAL U E—{ P O ADD'L INFORMATION STATUS CONDITION LAB SAMPLE# <br /> 1-' � <br /> Mu)-2- Z <br /> /V-,V/—`� <br /> /^A, -Af 7 1 , _ <br /> ^A V-- G <br /> SAMPLING JDATE ITIME SAMPLING RESULTS NEEDED <br /> COMPLETED PERFORMED BY NO LATER THAN <br /> RELEASED BY DATE TIME RECEIV D BY DAT TI / <br /> // 3 P � 0 If 3,-,'X S <br /> RELEASED BY JDATE ITIME �REC iVED ATE ITIME , <br /> 1 s <br /> REL EASED BY JDATE TIME RECEIVEIf'111—"'Z 1YATE7 ITIME <br /> 0 <br /> SHIPPED VIA DATE SENT TIME SENT COOLER# <br />
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