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ARCHIVED REPORTS_XR0008019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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5110
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2900 - Site Mitigation Program
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PR0505897
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ARCHIVED REPORTS_XR0008019
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Entry Properties
Last modified
3/31/2020 2:13:46 PM
Creation date
3/31/2020 2:06:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008019
RECORD_ID
PR0505897
PE
2950
FACILITY_ID
FA0007071
FACILITY_NAME
SEARS ROEBUCK & COMPANY
STREET_NUMBER
5110
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
02
SITE_LOCATION
5110 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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c 4 0 [ICE ,CONCOR45522 0 CHAIN-OF CUSTODYRiECORD <br /> c D,CA 9 <br /> 1 (510 685-7852 ' AND ANALYSIS REQUEST 12 J5' 7 <br /> COWL <br /> � (900) 423-7143 <br /> lAsnRll•llfl IRC <br /> 4 1 • f � • <br /> Company Name Phone# O! a a-7 <br /> �r r o►x.�,t?r.�+e. er 7��h��Jn y �- FAXP A/)S 3 2 ^los% i 111 <br /> Co parry Addr ss r k �t4 mi u <br /> so Location ,,LaT3 - <br /> 27 F.so � T ►+npls. s"�1"e � l °` t U = a r <br /> Ste/ I.R k <br /> Project Manager Client Pro ecl ID (#) = � '� ii; � a Ll <br /> Cl [l f'�" i 02¢'2a Z 6 ! 1 Q }` <br /> t e e rti YlrrL P !u 4 1 1 en me < <br /> O <br /> I attest that fho proper[laid sampling Sampler Name Print <br /> p (Print) r i f� �c,{. ,� � O I in r� , a z � r <br /> procedures were used dune the a` �! 2i a r Q <br /> 9 ar m I '> Iii m a ° f <br /> collection of these sam les r1�— G v <br /> I] rt w n <br /> r 11 -e n �! .f) . o o V d m ,) a° fn a <br /> m Matrix Method b � in m a « 4 1 n Q U I. L <br /> � PresQrved Sampling Q ,� a Q n < Q a i7 " <br /> Field GTEL w H n ,a, u1 § LI ll <br /> y7 Z - - r.] x - L a l l j W u CU � m 1 1 lit �' 1 1 ri <br /> Sample Lab# a � €i � 4 � e � t � i l d - <br /> ID ab UsB � H } � O w b O _ >'a;�w� w x � g o a n � s$ � � n`ri 0 � x S m m m 0 > <br /> li _ ,Z n r — 100 <br /> only I to a {{�� cz 3, M l} 2 r��y] w 0. 1x- } w fl�-u. $ v ' x` m d d �1 k <br /> V T T O Ilu III W W W n M1 P Q w i <br /> w w r>v w (Cil Q <br /> 77 <br /> O � _ <br /> ^4 <br /> F <br /> f 5 <br /> I <br /> 171 <br /> fa {i <br /> }vf t i �I �I } It t i 11 i 1 } 1 I <br /> 1 <br /> '`r, li ,1 1 �1:r iF /1-i�' AA 1 I i� j ,if1 - 1 <br /> '1iui� <br /> - �'1'''i1• ri,�4�rE �!tl.ii�{7 �I �r�',�h I ��4 Ter �ii iii 4� <br /> y <br /> ' TAT SpeCial dandling SPECIAL dFTECTION LIMITS RFMARKS <br /> Pnorily(24 hr) ❑ GrEL Contact _ -_ <br />� (48 k) QuotefCaniract# C-�-) D <br /> 7 Bu3fness� :1Confirrrmtlon X <br /> Q[her _.. <br /> eusiness hays ❑ PO A SPECIAL REPORTING REQUIREW-iNTS I ab Use Only Lot k` <br /> J-1 J��� 7 f`N vt�n Y SI ratje Location <br /> �nrer 011.17r. ot4Alt�C Level C J /�rJ7`� �.� r� ��.�.� e;r, C�o�OIg 5-_ Pb(s r�r� <br /> harDFAX ? Wo,k Order 11 C9 0?01 1 _2 Ll Hr *RT <br /> Relinqutshad by Sampler Time Received by <br /> "STODY <br /> '*ORD RoInquished bf DaIP I brio flat ived try <br /> V RPCngaished by Dale Time by L3barr to <br /> �x.00 +114u bill it y, <br />
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