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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MARIPOSA
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4900
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2900 - Site Mitigation Program
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PR0500171
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Last modified
3/13/2020 2:49:56 AM
Creation date
3/12/2020 11:21:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0500171
PE
2951
FACILITY_ID
FA0004666
FACILITY_NAME
DELTA CHARTER SERVICE
STREET_NUMBER
4900
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
17916021
CURRENT_STATUS
01
SITE_LOCATION
4900 E MARIPOSA RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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WESTON Analytics Use Only Custody Transfer Record/Lab Work Request <br /> WESTON Analytics <br /> Refri erator# Use Only <br /> #/Type Container Samples Were: <br /> Client r,,i -,To Volume 1 Ship ed oCN nd- <br /> elivere <br /> Work Order1 Preservative NOTES: <br /> Date Recd. 7 Dat Due <br /> RFW Contact r -A^ ANALYSES <br /> �j r� 2 Ambient hilted <br /> REQUESTED NOTES. `7 0 <br /> Client Contact/PhoneA Use Only Matrix Date 3 Received Broken/ <br /> Lab ID Client ID/Description Collected <br /> Leaking(Improperly <br /> Sealed) 4� <br /> Y <br /> NOTES: <br /> D 3 # <br /> pLI 4 Y erly Preserved <br /> S O N <br /> NOTES: <br /> U 1 N <br /> ��) W �qc 5 Received Within <br /> d yoking Times <br /> ( Y N <br /> 4-_3 NOTES: <br /> COC Tape Was: <br /> 1 Present on Outer <br /> Package Y N <br /> 2 Unbroken on Outer <br /> Package Y N <br /> 3 Present on Sample <br /> Y N <br /> Metrix: -Water DS-Drum Solids X-Other Special Instructions: r f7j�_ o +Y,- c� 4 Unbroken on Sample <br /> W <br /> S-Soil 0-011 DL-Drum Liquids ��5,�(�-� (,J/ Cr y^ _ �� Q,� �N G1 p v,v i/OXI NOTES: Y N <br /> SE-Sediment A-Air F-Fish <br /> SO-Solid WI-Wipe L- EP/TCLP Leachate31_ A r5 dq of e �Jpi1 W <br /> COC Record Was: <br /> Item/Reason Relin uishe b Re ei b D to Time Item/Reason Relin uished by- Received b Date Time t Present UP9 ceipt <br /> of Sample> N <br /> Discrepancies Between <br /> Sample Labels and C <br /> Record? Y N <br /> NOTES: <br /> 7-115 <br /> RFW 21-21-001/A-12/88 <br />
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