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ARCHIVED REPORTS_XR0012935
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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PR0505897
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ARCHIVED REPORTS_XR0012935
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Entry Properties
Last modified
3/31/2020 2:11:32 PM
Creation date
3/31/2020 2:07:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012935
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
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SJGOV\sballwahn
Tags
EHD - Public
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o }� CONCORD, CA 94520 ( r,x VVF Cilp �. k — <br /> .,,,,,�,,, (510 695-7852 AND ANALYSIS REQUEST 31ZJ�'' 7 <br /> 1•rneeEe,n+ Ewe (900)423-7743 <br /> 4 � . <br /> Company Name: / Phone# 0/ S?O f Doi t ffi • <br /> t o 1.1«r�e..���c� !�'_ �1►+a�o y �"4FAK 0: a1) 1 I <br /> Co parayAddrgss , Site Location: .;Pat S rk an Cf1 mI tr. <br /> �z :�.se t.•TC�,.►,,l , s1'.�r,: 7 t sT� �.P- W r <br /> S�fT L.a Cr74 Gt �� `JI!! �I ! : • . r i4� I v I <br />' u <br /> Project Manager: G; OJ r W <br /> 1 9 Client Project ID•(n) <br /> o2.42� � Y <F a Lr r-r <br /> cmc 1 r. + ' czn . I L a� <br /> r C LL o t.t m a x O r a <br /> attest 111011 1h proper ilold sampling Sam ler Name � z Ir <br /> procedures were used during the � <br /> {? n a <br /> caiie<Ilon of Ihese sam fes. ��r-- o o IN; 4 <br /> Method (� Er s <br /> a Matrix Sampling N e u> m• Q o r , �• o C u <br /> Preserved - ... �� L,F o n s a r7 a o u <br /> Field GTEL II! `° a w a a (_I r I <br /> A soil � W I» � 4. d <br /> Sample Lab w.. a - — e ;, .� i^f I:. ( t � (U t A �! <br /> -ID - 8t] Us A G Fw- .s o ❑ _ p -� u�1 ul VM o iC o p �N�11 'a <br /> - ,•? O - - a 2 - -W-- -X- Q. C_ tor- - X m t7 U > <br /> only U Q ¢ J d l..T Z �- LL� C` b •'d S q1 O .2 1 N <br /> L1 J R 3 �' d u3 a O 2 x :� r? O o rn s �. �C- a o � Qap� to a n n a~ U Q d�d n 5 Q <br /> .i = U F- W !11 _t11 to W W W W 113 F W U r Q Lh t <br /> .I .r,1.1,•E= ,�, r,if - £ i."n!.! iW'. <br /> "Ir0.f .,A: IC', : ,jJ PA E j <br /> (, • i ..'i _ �_E .�J _ <br /> Lu <br /> :kI <br /> V 5,7 3 l;';c!,� S I t f. IS_- <br /> 4,, <br /> } ti <br /> �IS <br /> SPECIAL.VETPCTION LIPAITS + <br /> TAT Special Handling RFMnRKs: <br /> rl WIty(24 ix) p GTEL Contact <br /> Expedited(48 hr)--p QuotelConiraCt� TAT <br /> 7 EWaL _r -- <br /> Ottler Confirmatlon If <br /> Bosinm D"s ❑ P.O.A SPECIAL REPORTING FREOUIREMEAITS <br /> 3>r` �4k Lab use Only Loi : <br /> _ .— a �.. Pb S � prage Location i <br /> QAIQC Level �� ��+-t <br /> • l Cif o�019 5 <br />�a •�Ilgr . -;,t:P� -Qrner� -. Cr73. 54.. ���•k-� _C, T. �- -r.. <br /> I Ax �Va,korder J�: C9of-oi �� - 2.N Nr <br /> [PoInquished <br /> shed by Sampler: <br /> l , / lite Time Received by; <br /> 'STQDY �`l-L�- -' �erIif- <br /> .� n by: I� �` /3`Cf� `` 1 S 'nQl� .N Data Time I18c recd by: <br /> ,+` 'Vshed by; bite Time Receired by Labor to <br /> -�2��� 17,(�Q +Nrt bill rr 2, <br />
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