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ARCHIVED REPORTS_XR0005245
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545495
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ARCHIVED REPORTS_XR0005245
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Entry Properties
Last modified
3/10/2020 8:19:43 PM
Creation date
3/10/2020 4:24:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005245
RECORD_ID
PR0545495
PE
3528
FACILITY_ID
FA0006423
FACILITY_NAME
STOCKTON MOBIL 2
STREET_NUMBER
3440
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
3440 E MAIN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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I <br /> i <br /> j 2795 2nd Street,Suite 300 <br /> Davis,CA 95616 <br /> i� Lab 530 297 4800 <br /> ANALYTICAL t c l=ax 530 297 4808 Lab No Page–,;t_of <br /> Project Contact(Hardcopy or PC IF To) California EDF Report? Yes ❑No <br /> Chain-of-Custody Record and Analysis Request <br /> Company/Address I Recomnpndedhutnot to ttissecrar I! a <br /> 46-1 2 1 Sampling Company Log Code N I .� Analysis Request <br /> Phone No FAXN Global ID 1 o X <br /> X39-Zt- Z W <br /> Project Number P O N EDF Deliverable To(Email Address) m m o <br /> u1 u i k ��al ��u,ti nek o W m g Y <br /> 1 H (� � Z4 4— { N m r _ � o <br /> Project Name Sampler Signature '� m �' r a m <br /> G m N 0 fA <br /> gCCa'1 k2,L4 �LA BrAr +J�1 sc( 1 �"/`c $ N chi M to N a ~ a <br /> —Project Address i – i W -3to <br /> Sampling Container Preservative Matrix cQ; o t C ° CM <br /> m <br /> �U r m O m m <br /> i I7 LU d h c c e z ev t IL <br /> - 1 llJ J x ?�� � � � �y <br /> i of W U z ZQ a 0 H F a a z O O O <br /> Sample Desi nation , Date Time .r W = z z m �, 0 w , <br /> W- l atic 3 x X it x <br /> w-v <br /> ! -q 12-m- noo 3 X X X X II X /7— <br /> Kw-Ito <br /> Mw-lb ! awt S a3a 3 <br /> Ii- ! 13 <br /> KW-13 6i IIIOT Itiso <br /> cru- t �s 3 <br /> t <br /> II <br /> I <br /> Relinquished by j I Data Time Received by Remarks' <br /> r Soh i ! H btu <br /> Relinquished by ; Date Time Received b <br /> Relinquished by I I Date Time Received by a ratory 8111 to'AMMON 11i II <br /> �9 a� ILIL f f to +! t <br /> Dvstnbut rte-Lab, Rnk-Ongnaf r p wc 121'001 fhg <br /> �I <br />
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