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ARCHIVED REPORTS_XR0012936
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_XR0012936
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Entry Properties
Last modified
3/31/2020 2:11:21 PM
Creation date
3/31/2020 2:07:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012936
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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4060 PIKE LANE, SUITE C CHAIN-Oso-CUSTQJY RECORD 31259 <br /> GTE L C0NC0IlD, CA 1345'u AND ANALYSIS REQUEST <br /> N510 685-7852 <br /> O)423-7149 <br /> Company-f4ame Phone 3,1 -!U v ' <br /> I I �� <br /> ,7JI4.04-V �����,~d �fy , F•c , fAx lI �gu1� 3 - - rose wl tI is I l <br /> Crim Address �T Stte Lacatlo m I I rr <br /> �7S�f ,y Saec7l Iev'-79 5r�r � 3�.1 Tee' x' S?`�`=,�CTos� +1.�'� it <br /> //� c� 11 <br /> -cc-YC Ce f QL J ^ r1 r � '� * '5 i Ifi aI 11 <br /> Prolect Manage: Chant Project l (#) ;, L n a �, <br /> OAC? p O U� ' ' ❑ ai m m T a n <br /> Cr /,eeH J?r t4ACLKm u- o I ' I 7 FJ l _ rr <br /> attest 11tat the proper field sampling SamplB�jName{Pant} 0 E 2 a 1, o c I N i l 5 �JI t, q w <br /> procedures were used during the f' ��� � y �t, q a <br /> r C7 )JQ o n n 13 U L Z� [° to 0 <br /> !I�} rL <br /> oallcelon cf IhesP samples +. , i n `r' " w i a a i-r ,. <br /> ' i Fl F. d u] m a aQ0 a m I 0 U n <br /> cu <br /> �, Matrix <br /> Method Sampling 4 L ; 2 _ I o �_;, -1 1 i i <br /> O m a a v a s `'' ro <br /> Field GTEL p(1 -- I�reSI?ttfBd t-�AIIDCL <br /> -- n c v o I I w I t as 0. z r D iii <br /> u o w <br /> Sample d Lab# a w I� � - ro '� '8 o o N `a' x i m N " N <br /> ! p n n m an m �i m ( m O 4 2 oLab Use o �' o n w w w u w C, �, s in a ¢ ¢ a ¢ a a t- -� af1 a p c� Zp a t- H T a a o 0. 0. a 4 d 0. R 2 U a Q1only To 0 I-� m = z o r w w w w w w w w I- w O O <br /> f <br /> - I <br /> Of F- <br /> wo r t( — <br /> - -I - VT <br /> to <br /> it <br /> 11 TAT SpEcialHandling SPECIAL DETEC110N LIMITS REMARKS r <br /> Pnodty(24 he, GTEL Contacl tJ <br /> Expedlied 14B hr) ❑ QuolerConlract It <br /> Bvsrness Rays n r <br /> irmallon it — <br /> omer ConlSPECIAL REPORTING REQUIREMENTS r T- Lab Use Only Lcll+t Pbtorage t_ocalior � <br /> Buslness Days P D n /"�f �K 'f?c1L �T I OfOI lfo ct•J r (_7-,q) <br /> C� � V tic vlat"l <br /> _ I <br /> QAlaC Level F r �►` Sw�r� r tzl Work Order I` C�(o�'or�y -z-`[ Nit'`7- r f <br /> Nve U CLP❑ Othe U- -- <br /> RehnqurShctl t:y Sampler,r� f Dal Time note vPd Uy r, r, <br /> 1STaQY �"/I ajy 3�r 4 �- , <br /> Relinquished by ate Timm Rocr,wed by <br /> !ORD <br /> nelrnqulshed by Date Tirne Received by laboratory + <br /> waybill 4 <br />
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