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ARCHIVED REPORTS_XR0011018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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FILBERT
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110
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3500 - Local Oversight Program
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PR0545039
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ARCHIVED REPORTS_XR0011018
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Entry Properties
Last modified
12/10/2019 8:05:29 PM
Creation date
12/10/2019 11:39:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011018
RECORD_ID
PR0545039
PE
3528
FACILITY_ID
FA0010186
FACILITY_NAME
DEL MONTE FOODS PLNT #33 - DISCO WH
STREET_NUMBER
110
Direction
N
STREET_NAME
FILBERT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15702009
CURRENT_STATUS
02
SITE_LOCATION
110 N FILBERT ST
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Z=6r%6?UALITYANALYTICAL 'r <br /> LABORATORIES,INC. <br /> CHAIN.OF CUSTODY RECORD AND AGREEMENT TO PERFORM SERVICES <br /> Project# Purchase Order# .. LAS TEST CODES `.SHADED'AREA-FOR LAB USE ONLY <br /> idr�u A)&.-a J Lab1# t:at?2# <br /> - <br /> Project Name # ~ <br /> r 3 3 o k `` <br /> LLo�'- Quote# Kit Request# <br /> Company Name F <br /> l-t-t t-L C <br /> Project Manager&Phone# Report Copy to: O ANALYSES REQUESTED Project# <br /> Mr.)e +y�5�10-Z5'i 7-4 z-6 -sin N N <br /> Pills <br /> Dr.'`J �j 17.f`N 1 7T� T /�'+�Gt�2�fL T I' <br /> Requested Completion Date: Sampling Requirements Sample Disposal: A NO Of Sampl@s a Pag@ O <br /> OTf ?- <br /> 1 �+ 9DWA NPM RCRA HER Dispose Retum N 5 <br /> E COC Rev LI LNO Ver Ack Gen <br /> Type rixi R <br /> C G W 5 <br /> Sampling S \/1 a <br /> O A A O CLIENT SAMPLE ID <br /> P B p L (9 CHARACTERS) d` LAB 1 LAB 2 <br /> Date Time <br /> REMARKS ID ID <br /> /0,V <br /> Ir Z1A \0 <br /> X tMw - 35xx 3 <br /> 123 X M k3 5 S X X <br /> moo x x /A S" x x S <br /> \ X X <br /> J,\ <br /> _ s►t � <br /> 17-1sX )1,1 <br /> T5X — sa S( <br /> -.. <br /> _. ..__.. _..._. .- - -.---- <br /> 1715-1 x A '19 5 )41 -A °sem_ q <br /> 1 le fase ' ana-I rem" _ a ITIm R li gUish 1 se s anp Print Hamer _ eft ime <br /> 1 rf J q I�- �, ' Ff PINESuA <br /> lved BYIft <br /> prease sign and prim name) DatelTl a el ufshed B f 'Fr } f <br /> Y ( se s gn and prim name) Datemm OC:l ev@I()2 3 Other:'' <br /> COC Rec'i;- Y ICE . <br /> Received By measeSynandpdrdname) DatelTme Relin uished B <br /> 'g q Y (Please sign arid prim name) Date/Time Ar►e-Req;i <br /> Cust Seal Ph <br /> Received By (P�'igrt r n,,,na Date/Time Shipped Via Shipping# <br /> -Zl- L- UPS BUS (Fe Hand Other <br /> Wvrk Authorized By Iftase sign and e) Remarks <br /> S ) 5t 5"--ZViED 1--$L TG f`eD '- <br /> lnstructio;:- -id Aareemenr Provisions on Reverse Side DISTRIBUTION:Orlainal- LAS.Yellow. La)B.Pink-Client <br />
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