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ARCHIVED REPORTS_XR0001991
Environmental Health - Public
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EHD Program Facility Records by Street Name
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H
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HAMMER
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1612
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3500 - Local Oversight Program
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PR0545246
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ARCHIVED REPORTS_XR0001991
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Entry Properties
Last modified
1/30/2020 8:52:32 PM
Creation date
1/30/2020 3:07:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001991
RECORD_ID
PR0545246
PE
3528
FACILITY_ID
FA0003611
FACILITY_NAME
PARKWOODS GAS & FOOD
STREET_NUMBER
1612
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
07728002
CURRENT_STATUS
02
SITE_LOCATION
1612 W HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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• • • • • • • # • • • <br /> ARCO Pr is Company ;; Chain ustody <br /> 8ivis AtlanticRicMieldCompeny Task Order No. Sy <br /> ARCO Facility no. CityII /_ 1 Project manager : — Laboratory name <br /> (Facility)STk&G-10rf (Consultant)' 5 O has <br /> ARCO engineer !I Telephone no. Telephone no. 0 Fax no. c� scao <br /> C.�C / Q� {ARCO) /f' 's '��b (Consultant) f/(- ' 0 S�+�vL�V (Consultant) g ,7 Z"66 Contract number <br /> Consultant name p� Address +`f <br /> W 14 t,AA (Consultant) ?I(D ( r�11ve S -poo ^D� -Icko C`^4av <br /> ❑ $ <br /> Matrix Preservation Method of shipment E o _ <br /> -❑ ❑ <br /> o Z5 c.i uta ❑ U <br /> O e v E <br /> . rn rn O rn o <br /> [V _ <br /> m c Soil Water Other Ice Acid x ti o._ `�[ j m © ❑ v a <br /> Q C a 4 xw ti� Owl <br /> E A c E E iii�; M d a!- - z a a a c 3 9 <br /> (roA J O N b 1-r� F-a. [1- v a d d n a U d m a`viv <br /> U (n rn ro�o row -.c� O a r w w w w f- [� J J f+ <br /> Special detection <br /> L q Limitlreporting 7 1 <br /> -yo•8! 7c <br /> Special OA/OC <br /> Remarks <br /> Lab number <br /> Turnaround time <br /> Priority Rush <br /> 1 Business Day ❑ <br /> Condition of sample: i Temperature recei d: <br /> Rush <br /> Relin ish by sampler Date Time Rec 'v �y f 2 Business Days <br /> e&zio zz �( Z? t F > 4c�---� <br /> Relinquished by Daie Time Received Expedited <br /> / 5 Business Days 0 <br /> Relinquished by Date Time =o Date Time Standard <br /> ,, d� Gl.l 3 10 Business Days <br /> Distribution:White copy—Laboratory;Canary copy—ARCO Environmental Engineering;Pink copy—Consultnl <br /> APPC-3292(2-91) <br />
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