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ARCHIVED REPORTS_XR0002991
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_XR0002991
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Entry Properties
Last modified
1/30/2020 8:19:04 PM
Creation date
1/30/2020 3:14:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002991
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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y <br /> • � Yage� z- <br /> a� Chain of CustodyRecord �r <br /> -siteTimc: !gyp Temp: G/O <br /> Project Name G <br /> .� !L2L� �`��_ • O1T site Time: --A Temp: ;� <br /> BP BU/GEM CO Portfolio: Atlantic Richfield Company Sky Conditions: 4— <br /> J�� BP Laboratory Contract Number: Meteorological Events:$ ' <br /> Date: I Requested Due Date(mm/dd/yy): Standard TAT Lind S d:-tom- Direction: . <br /> Send T0: BP/GEM Facility No.:/12 t 42 Consultanl/Contractor:URS Corporation <br /> Ub Name: Sequoia Analytical MP/GEMFacility Address: 2 !Ve2 L «l� ddress: 2870 Gateway Oaks Drive,Suite 30Q <br /> Lab Address: 1455 McDowell Boulevard, Site ID No. ��/ ' Sacramento,CA 95833 <br /> North, Suite D Site Lat/Long: mail EDD: denise s!e ursco .cam <br /> Petaluma,California 94954 California Global 1D M D26 0770p i Consultant/Contractor Project No.: <br /> Lab PM: Angelee CariBP/GLM PM Contact: Cousultaut/Contractor Tele/Fax:(916)679.2M)(916)679.2900 <br /> TejelFax:(707)792.1865 (707)792,0342 Address- onsUltant/Contractor PM: <br /> Report:'ype 8c QC Level: i yoiw to: Consul unUContractor or ' Circle one) . <br /> BP/GEM Account No.: Tele/Fax: IPP/GE M Work Release No: <br /> U&Mottle Order.No: Matrix Preservatives Requested Analysis <br /> Item <br /> Na Sample Description Time o Laboratory No, o n l Sample Point I at/i,ong and <br /> o O 00 00k � � Comments <br /> r° � W [ W W l� <br /> ( C Z ✓ � � i, c/ <br /> 3 —7. v <br /> 4 <br /> 5 <br /> 6 <br /> CG 'L:Ll Cx;S-I•O "e i ALS Iti"IAt::'t <br /> T IN', rtCT <br /> 8 4 <br /> 9 <br /> i0 <br /> Sampler's Name: j ,l4g �i�rr�// Relinquished By I Affiliation Date Time Accepted By/n oa Hate ime <br /> Sam ler's Company: ' 21rq/r.? too <br /> Shipment Date: 12/6, o l <br /> crt-) <br /> Shipment Method: y; <br /> W' <br /> Shipment Tracking No: 40 <br /> Special Instructions., <br /> Custody Seals In Place Yes No Temperature Blank Yes--go Cooler Temperature on Receipt OF/C 'Trip Blank Yes LNo <br />
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