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ARCHIVED REPORTS_XR0003521
Environmental Health - Public
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EHD Program Facility Records by Street Name
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H
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HAZELTON
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1810
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3500 - Local Oversight Program
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PR0545280
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ARCHIVED REPORTS_XR0003521
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Entry Properties
Last modified
2/3/2020 7:10:22 PM
Creation date
2/3/2020 12:03:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003521
RECORD_ID
PR0545280
PE
3526
FACILITY_ID
FA0003954
FACILITY_NAME
SJ CO PUBLIC WORKS CORP YARD*
STREET_NUMBER
1810
Direction
E
STREET_NAME
HAZELTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
15518002
CURRENT_STATUS
02
SITE_LOCATION
1810 E HAZELTON AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Tait Environmental Management, Inc Pea Name SJDPW Motor Pool Facility CHAIN-OF-CUSTODY-RECORD <br /> g � Ana sis Requested <br /> 1100 Town& Country Road Pisa 9 1810 E Hazelton Avenue ¢ N Lo Page 3 of 3 <br /> Orange, California 92868 Stockton, Caldomla m- w a <br /> Phone (714)560-8200, FAX 560-8211 ProjadNumbar H rV- Laboratory Project # <br /> Scoff Ek PO Number(d appIcable) � d v Y m <br /> m <br /> c m E <br /> Sample ID Sample Location Date Time ID r m co F z' Comments/Special Instructions <br /> B2-50 18-Mar-99 11 37 AM 31 S X X X 1 <br /> 132-55 18-Mar-99 12 07 PM 32 S X X X 1 <br /> 32-60 18-Mar-99 12 47 PM 33 S X X X 1 <br /> Tumaround Request Mobile Laboratory <br /> Sample Condition Chilled? Y / N Sealed? Y 1 N Comments <br /> Relequished by Relinquished by Relinquished by PAir quished by <br /> Comp-y Company C°mpany Company <br /> 13 ime 3 Data11ime Dewrime Datemme <br /> Received Recat"d Received Recened <br /> Company Company' Company Campeny <br /> Oatomme y 9 DatWTlme Dateffime Detw7ime <br /> NK <br /> MRA yi l I WMw P.0. Box 2243 Phone: (794)396-5467 <br /> TM Huntington Beach, California 92647 FAX: (714)842-2947 <br />
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