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ARCHIVED REPORTS_ENVIRONMENTAL SITE ASSESSMENT ADDENDUM
Environmental Health - Public
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EHD Program Facility Records by Street Name
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I
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INDUSTRIAL
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248
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2900 - Site Mitigation Program
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PR0536908
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ARCHIVED REPORTS_ENVIRONMENTAL SITE ASSESSMENT ADDENDUM
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Entry Properties
Last modified
2/12/2020 4:15:46 PM
Creation date
2/12/2020 9:18:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
ENVIRONMENTAL SITE ASSESSMENT ADDENDUM
RECORD_ID
PR0536908
PE
2950
FACILITY_ID
FA0021186
FACILITY_NAME
INDUSTRIAL DRIVE RECEIVERSHIP ESTAT
STREET_NUMBER
248
STREET_NAME
INDUSTRIAL
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
17728020
CURRENT_STATUS
01
SITE_LOCATION
248 INDUSTRIAL DR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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Enviro-Chem, Inc. Laboratories Turnaround Time 4 ; {ppb# <br /> 0 Same Day , <br /> 1214 E. Lexington Avenue, 0 24 Hours � <br /> 0 48 Hours ILU <br /> Pomona, CA 91766 0 72 Hours z <br /> cc <br /> Tel: (909) 590-5905 Fax: (909) 590-5907 Othe eek(Standard} z O <br /> CA-DHS ELAP CERTIFICATE#1555 0 o <br /> x U- Luw <br /> LU <br /> SAMPLE ID LA13 I SAMPLING Q o w Analysis Required COMMENTS <br /> DATE TIME z <br /> r <br /> pO-_ 6 (o --LI-1 Ib�o <br /> Ileo <br /> Z If -ZS li12S <br /> o - t l o h lk^LR <br /> alu <br /> 13�o I <br /> 1 � 1Z, <br /> Zo -ZI leo <br /> 14.1p1crl <br /> 3,0 -31 I <br /> K�< <br /> �- <br /> 3 -- /to 4-30 . 1,1� y,btd <br /> Company Name*5 - � �3 S' P ject ontac . Sampl 's Sign tures <br /> Project Name11D: <br /> Address: Tel: q.,5 1 - q-17 o - (aq 5 S <br /> -2 4 g T*-0-uS f-r� S-Ia�K tam <br /> City/State/Zip: F$%' <br /> Relingclshed I}y: 4i. � '� - Received by: 7&Time� � Instructions for Sample Storage After Analysis: <br /> Relinquished by: <br /> Received by: 0 Dispose of 0 Return to Client 0 Store(30 Days) <br /> 0 Other: <br /> Relinquished by: Received bv' <br /> 2 CHAIN OF CUSTODY RECORD <br /> Date: <br /> Z3� ' WHITE WITH SAMPLE•YELLOW TO CLIENT Page of <br />
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