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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0545308
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Last modified
2/10/2020 7:33:31 PM
Creation date
2/10/2020 4:58:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545308
PE
2959
FACILITY_ID
FA0000932
FACILITY_NAME
DOMINO'S #8588
STREET_NUMBER
305
Direction
S
STREET_NAME
HUTCHINS
STREET_TYPE
ST
City
LODI
Zip
95240
APN
03319020
CURRENT_STATUS
02
SITE_LOCATION
305 S HUTCHINS ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Chesapeake Drive • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364-9233 <br /> ❑ 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> V CHAIN OF CUSTODY ❑ 404 N.Wiget Lane • Walnut Creek, CA 94598• (510) 988-9600 FAX (510) 988-967-- <br /> Company Name: Equilon Enterprises LLC Project Name: 18/00 '7- T) <br /> Address:Texaco Loc.0 q-zQ (a(Qo gm 5 . G Billing Address (if different): 108 Cutting Boulevard <br /> City: j.,�bD I State: 4f-A Zip Code: Richmond, California 94804 <br /> Telephone: (510)236-3541 FAX #: (510)237-7821 P.O. #: <br /> Report To:1314.1 Sampler: �Vp S,•„ OC Data: ❑ Level D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> Turnaround %t3r10 Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water Analyses Requested <br /> Time: ❑ 7 Working Days ❑2 Working Days q q, ❑Waste Water <br /> C15 Working Days ❑24 Hours ❑Other <br /> z y <br /> SaClient <br /> onSequoia's <br /> 9 � C: ' \ CommentsSam led Desc. Cont. Type Sample # <br /> 61 <br /> MUJ- ( 10/7 /717- G) -/KH <br /> 2. vnw LZ! 10/7 &`e Uj 8 <br /> 3. �In/"/ / /o/-/ i y 8 rft3 ai 0 8 2 Oil <br /> P <br /> 4. �" U <br /> ti a S� j t <br /> I "i.. . A . <br /> 5. r W �. <br /> AV I <br /> 6. ratvy ea ;4RA <br /> az F. A1C. <br /> r ,. <br /> III IV I I <br /> yy roll 1I 11105 II! ' alt IMP,' _-L <br /> 'i•J i ' +1 ,b1 •) 11(4f 1 �(' 4l':ryp l: <br /> 8. J <br /> 9. <br /> . 10. <br /> Relinquished By: Date/. ,r- Timer,'/ Received B v� Date:/e-rj� Time: <br /> Relinquished By: Date:/o_-_?% Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By Lab: Date: ji1J� Time: �y:o <br /> Samples Received in Good Condition? ,21IYes ❑ No Samples on Ice'? /I vas n No Mprhnd or Ahinmpnr <br />
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