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ARCHIVED REPORTS_XR0002946
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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3250
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3500 - Local Oversight Program
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PR0545251
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ARCHIVED REPORTS_XR0002946
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Entry Properties
Last modified
1/31/2020 10:16:27 AM
Creation date
1/31/2020 9:38:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002946
RECORD_ID
PR0545251
PE
3528
FACILITY_ID
FA0001877
FACILITY_NAME
AM PM HAMMER/I5 FOOD #83113
STREET_NUMBER
3250
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
08240009
CURRENT_STATUS
02
SITE_LOCATION
3250 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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M IMAP}F MTM 1 LMO A0AN�SIM&QMT MR MM I M <br /> Shaw En <br /> nm tai& Infrastructure,1Ine. Purchase Order � 364 2005'__ <br /> 1326 North Market Boulevard Sacramento CA 95834 Lab CLS Labs <br /> Project Name Parkinson's Arco,Stockton Anal sis Requested <br /> Global ID T0607700906 <br /> 0 <br /> Protect Number 880040IA o o <br /> Project Mnger Dan Wynne <Dan Wynne@shawgrp eom> w <br /> Company Shaw Environmental& Infrastructure,Inc ccl ,a <br /> Address 1326 North Market Boulevard C LU <br /> .. <br /> Sacramento,CA 95834 0 A <br /> ¢ w <br /> Dir Ph (916)565-4184 I FAX (916 565-4356 <br /> Q <br /> ¢ <br /> m <br /> xF� <br /> Sampler's Signature Z F ry REMARKS <br /> Sample LAB Sample 1contalnerTypes <br /> I D Date Time I D Matrix HCl 1preservations <br /> MW-1 Water 4 4 <br /> MW-2 °L Water 4 4 <br /> MW-3 IL'tr Water 4 4 <br /> MW-4 tlSti1 Water 4 4 <br /> MW-5 936 Water 4 4 <br /> RELIN ISHED BY RECEIV&D BY RELINQUISHED BY RECEIVED BY TURNAROUND REPORT REQUIREMENTS <br /> REQUIREMENTS X 1 Routine Report <br /> Signat &A.14-S na r� ` L Signature Signature za hr as hr 5 day 11 Report(includes DUP,MS <br /> (f X Sundtrd(-10.15 working days) MSD,as required,may be <br /> Prin Nam s,s Printed Name l Printed Name Printed Name Provide Verbal Preliminary Results charged as samples) <br /> �+�- R�1��✓J 0 L V-i I u Z Pmvtde FAX Preliminary Results III Data Validation Report <br /> Ft ,e Ftr� f. Firm Finn Requested Report Date (includes All Raw Data) <br /> . RWQCB <br /> Date/Time 2 1 Date/Time q-[ U Date/Time Date/Ttme (MDLs/PQUrrRACE#) <br /> RELINQUISHED BY RECEIVED BY Special Instructions/Comments Container Types Key <br /> 40 ml VOA 1 <br /> Signature Signature Need EDDs for GeoTracker CLS Labs 250 ml LPE 2 <br /> Dan.Wvnne(a-),shawm conn 3249 Fitzgerald Road 500 m!LPE 3 <br /> Printed Name Printed Name Reporting limit 5ppb for MTBE Rancho Cordova,Ca 95742 1 liter HDPE 4 <br /> 916-638-7301/Fx 6384510 500 ml glass 5 <br /> Firm Firm Contact Ray Oslowski 1 Etter glass 6 <br /> 2x6 sls ring 7 > <br /> Datcaime Date/Time glassjar 8 <br />
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