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ARCHIVED REPORTS_XR0012081
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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4707
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3500 - Local Oversight Program
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PR0545229
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ARCHIVED REPORTS_XR0012081
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Entry Properties
Last modified
1/24/2020 12:40:18 PM
Creation date
1/24/2020 11:37:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012081
RECORD_ID
PR0545229
PE
3526
FACILITY_ID
FA0003903
FACILITY_NAME
TOSCO CORPORATION #31258
STREET_NUMBER
4707
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
10816004
CURRENT_STATUS
02
SITE_LOCATION
4707 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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MPDS <br /> Services, Inc <br /> CHAIN ()i' CUSTODY <br /> SAMPLER SIIE HARE R ADIIRESS ANALYSES REQUESTED TURN AROUND IIHE <br /> WITNESSING AGENCY q�LD:p <br /> S� <br /> F <br /> SAMPLE OFSAMPLIHr ti Ix R E M A R K S <br /> ID NO DATE TIME SOIL ATJ`f'k A7C9 CDfiP CONT LOCATION k� rrj <br /> 7— A40169LIO A -3( <br /> M&l Z 'h9194 <br /> MU I�!$fg'I <br /> ou s I/13/9 y X ,� `z- 7 7 <br /> MW f/14/9y x � — z � � x a� (i s7 <br /> 140T <br /> MSS Its/4y 1C X Z_ -C <br /> MW j xty- z 1 t t u b� CI <br /> Relinquish yt (Si9nalure) M/ <br /> e/11a+e elved by Signature) /V/rr <br /> rhe fntlouing MUST BE completed by the laboratory accepting samples <br /> �j`'1 for nnnIysIs <br /> I 11--we all sanlstes received for anatysis been stored In Ice? <br /> � + Relinquished by: (Signature) Date/Time Received by (Srrjr+ature) � — <br /> A 2 Will snmples remain refrigerated until anolytedl t <br /> Afilfr Ufshed byt (Signature) pale/Time Aecelvrd by (Slgnniure) 3 Urd any Sanptes received for analysis have fiend space? <br /> s } <br /> 4 Were samples in appropriate containers and properly packaged? <br /> Rellix?ulshed by: (Signature) Date/Tl+ne Deceived by (signmturc) <br /> ci <br /> Srgnature� Title al <br /> 2M Sn11%WL11 OFIK NUItL lull <br /> fnnuonl (..ddu}mr�915N1 <br /> ILI 5111 Wl SAKI I rk 5111(ollll(02 <br />
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