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ARCHIVED REPORTS_XR0009686
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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7647
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2900 - Site Mitigation Program
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PR0505534
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ARCHIVED REPORTS_XR0009686
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Entry Properties
Last modified
3/31/2020 5:08:43 PM
Creation date
3/31/2020 4:49:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009686
RECORD_ID
PR0505534
PE
2950
FACILITY_ID
FA0006840
FACILITY_NAME
TOSCO SUPER T MARKET
STREET_NUMBER
7647
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
07748014
CURRENT_STATUS
02
SITE_LOCATION
7647 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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AMEA�c�N AMERICAN ANALYTICS CHAIN-OF-CUSTODY RECORD <br /> 9765 ETON AVE, CHATSWORTH, CA 91311 DAIS ����'-49 <br /> �rrtcs (818) 998-5547 (818) 998-6548 1-SM533-TEST 1-BO -533-8378 FAX (818) 998-7258 PAGEOF� <br /> AA Clem <br /> 1 li rr0!G C.& Name 3 P <br /> Project Managef 00 No Sampler <br /> IF'r'r— SI nature <br /> Project NameD Project No Project Manager's <br /> U� v oR -ae w nl G sigftattre <br /> 2 ` ANALYSIS REQUIRED <br /> Job Name Detectlan 1 <br /> Address `( � P- r :,^�ar�jUmlta <br /> c57-) GC ` or -/ C4 `�J Zo! Test Test Requirements <br /> A-k CW1* H" <br /> H" <br /> LDLO LD pets Ttms Tye of (\ <br /> cantakrms 0� <br /> ljo o VW- 02-18-41 46 W wkTEQ 3 � _ gG RFQ0ip_Fpop- OY ORI $i <br /> 936c) 1 V,t;-3 11 16=25 3 CO _ 405 VSf>,f) iN 0 <br /> oZ W-50 16'35 3 FPI} 6T-ffm VZO <br /> .�so3 3 <br /> 8 3 6o S 'p' 2- 2 F, (-NOL <br /> - — �T RZT7� r rloL <br /> Ups _ <br /> . <br /> frff N.a- <br /> SAMMM nf7=R=-TG IM XILLUM IN DT RSC=VIWG LAE oats Tbna Ret rived by- <br /> $anples Intact Yea No /`J 07 r dq Ok © (9TH <br /> H <br /> Swrpi a Property CQded Yes No by ata Time Received by <br /> Swrp•- Accept.d res Na CA, 4 l"°C Tr t C'z Q.11 11.1do <br /> N Not Whys Robxp*ttsd by Date TV" Rscefved by <br /> AA Project No f 1351-77- <br /> 35y Z2 Dale Tone Rocdved by' <br /> 6 Rekq*hod <br /> IISTRIBUTJOr�L While - Laboratory, Conary - Laboratory, Pk* - Account Executive, Gc4d - Client <br /> 10 m <br />
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