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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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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_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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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.�.... -OF CUSTODY REL uKfl ��J..Z <br /> -- 4080 PIKE LANE,SUITE C NAINA <br /> AND ANALYSIS REQUEST. <br /> CONCOnu,cn la4;lo i . <br /> S GTE[. 510 685-7852 I <br /> ;i 423-7143 <br /> IAFr,�f rulMl�l <br /> 80p <br /> tt� Iw1410�.,� [ <br /> PhoneNPJ� s3 � '��rJ3 fI <br /> _Cornpany ame: e <br /> 0 11` r�C fAX It: 8 U fu <br /> �7- Site Locatio ' <br /> Cesrtp y Addres 7ew rlc sur-re 3.1 ��r►. s a♦ti ' +•L�� w y 1 t I i to L <br /> IL7r <br /> AL <br /> Client Pro ect t (#) „ v , �� v, r o ~ <br /> Pro ect Manager: Q�v O o tJ <br /> o;z. o <br /> m m > v <br /> ��e+t �('ewr}art A o r- t� �; I : I t IJ e d - <br /> Sample Nome{print) ( nP E z a y o - I I m a a u a <br /> l attest that the proper fold sampling p �� to L J J r �, �, I_l �y t- „ N CL <br /> proceduree were used during th© s '7' v, �, a ;a n y a M1 a ¢ <br /> ooltectlan of!hese sam les. �C�� CJ LL v ri N v� a w co M 1r; .] N <br /> N I la <br /> r' Matrix Method Sampling o c9 d „, LI ° w n n <br /> Preserved m a . <br /> _ - z <br /> > v I:t <br /> /� z , 1..1 <br /> Field O CaTEt. Z �11 — — Q (a V CV ^! v� <br /> l $8tY}p19 0 Vj <br /> Lab 0 _ �' - T C38 a Q i� 'w O Q y 1� <br /> s n ;� w w x ° is m a ¢ a s a a a t" <br /> i ID LabUSe '� w _, o ❑ w _TO Q _, h w w v u a o n a a n a a ,a„ ►- �u 5 d _ <br /> Ul O r O z S FT <br /> h w .c 4 . r F- uy w °uj w w w w a .,- <br /> �"` only I U �On <br /> j <br /> N 17: <br /> O ti z � 'a�. ❑ ►- � m x � O .F ,• <br /> t • 4 Y T , l <br /> - <br /> H4 ,.h CJ �•.,�+ 1 y —7 <br /> fir <br /> 11. <br /> 0-15 <br /> �1 lJ�) <br /> S <br /> i;3 <br /> _r ' <br /> O <br /> 1' : . 1 a} s ; , W //.mo,w/)►, 1 <br /> 10 <br /> ' i fI'�'t fail!',i J:4 r.l� .i •i i.l •..+. S i ..1 ... --'. �1/ 1�l✓� F L'. <br /> > SPECIAL DETEMION LIMITS HEtvtARKS: - put <br /> 1 <br /> ' :TAT . SpeclalHandling ��-� r /47 <br /> _. -GTEL-C�ntnct <br /> PrbrRy{21 hs; <br /> j ExlmVwd148hr) ❑ Quoleconlract 4 - Slorage Location v <br /> ' 7 evsinesa Days ❑ Conlitmation A — r I_ <br /> a Offer_ r SPECIAL REPORTING REQUIROVENTS -7- Lab use Only Let ft: sQcJ �^�• �1 <br /> 9dshseas Days J F.n. ��'�K J'��y�`''� � �Y t t IJ <br /> , <br /> C�o�'oI4S_ <br /> ..- 6. Z <br /> QA1QC Level <br /> r <br /> sw�'tW�cs-�C�. �� 4f 'NGrk Oder t.: <br /> '%]a❑ CLP 0 Othm 0 FAX I <br /> ID it Time ROW'vad by: <br /> Relinquished by Sampter�� A/ 3� <br /> 'IS"t'ODlf _ alto 7irrtc HocAivsd Iyy: <br /> n Hcilnquished by: <br /> �ORQ Received tr LaltoratOr`Y: <br /> [)aro Tirno 1 <br /> rletinquished by: _f Z-`� ��'t7O Wa blll u <br />
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