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ARCHIVED REPORTS_XR0011317
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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FREMONT
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1401
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3500 - Local Oversight Program
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PR0545145
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ARCHIVED REPORTS_XR0011317
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Entry Properties
Last modified
1/9/2020 11:32:50 AM
Creation date
1/9/2020 11:14:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011317
RECORD_ID
PR0545145
PE
3528
FACILITY_ID
FA0003820
FACILITY_NAME
VALLEY WHOLESALE DRUG
STREET_NUMBER
1401
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13525031
CURRENT_STATUS
02
SITE_LOCATION
1401 W FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\wng
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EHD - Public
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Ne9sglobal Environmental Geochemistry Chain of dy Record PO #: <br /> Client: W M. J. l{yN-rri 2. 4~ A-SSO6 I ATS b -\3 W Date: / � Page Z Of <br /> Address: 0350 M oN i f-CZL En K pL - QV-tt+CcxTOaVA-TEG Project#: Outside Lab#: <br /> Zih '4544Z <br /> Phone: X116-Ss'3 FAX: 916-Ss3-- Sc>-Zq Location:VALLSY w+-Ia��S [.f +,Cr 5{oGA. <br /> Client Project#: Project Manager: SILL fluCollector.-M• -N1Xz9ZPtK Date of Collection: <br /> lV <br /> m <br /> y N 4 M1 (a <br /> O R N N O co } M C <br /> IN U8? "n q (.2 <br /> H m � <br /> O N C 100 W Lo u,> i[40 <br /> V 4 J N A b <br /> O O N 7 O O O d = U N <br /> Sample Container co co 0o Y m 0o co Co v 4�• <br /> P ¢ ¢ ¢ E (. r = z ¢ v) m m <br /> Sample# Depth Time Type Type O O O - o_ a a a O o a Field Notes NO HE p <br /> mw-- 4-5 OS319 mil L ZceAsS <br /> - 0) <br /> MW-4- 10 to 0942 <br /> how— - 15 t5 005-o / <br /> MW - 4-- zc;, 7� 065'5 <br /> mio - 4----z5 -ZS d100 i <br /> W' S - 10 to 1e>1 <br /> mtv- S- 15 tS 10 Z-7- / <br /> miu - S, -z5 ZS 1035' roclJ <br /> jMw - S - 0 30 lo¢-4- <br /> »'lAi- <br /> Jv1cL1 - - to 10 IZxS � / <br /> !w- - tS t� tx30 <br /> yy V - - 2zo tz3� _ `�. <br /> zs , <br /> Relin uish signature Date I Time ce' ed by: (signature) Dale l Time Total#of containers: j Notes: <br /> Q/�00 c/! Chain of Custodyall i seals YIN/NA <br /> ( 0 r 7 Seals intact? Y/NINA <br /> Relin i ed b . (signalur Rate I Time Received by: (signature) Date/Time Received good condition/cold <br /> Turn around time: f0cA +" AL <br /> Sample disposal Instructions. _ TEG Disposal @$2.00 each _Return to client _ Pickup <br />
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