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ARCHIVED REPORTS_XR0005735
Environmental Health - Public
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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6100
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2900 - Site Mitigation Program
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PR0515353
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ARCHIVED REPORTS_XR0005735
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Entry Properties
Last modified
11/19/2024 1:50:32 PM
Creation date
4/1/2020 2:32:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005735
RECORD_ID
PR0515353
PE
2950
FACILITY_ID
FA0012099
FACILITY_NAME
ARCO STATION #595
STREET_NUMBER
6100
Direction
N
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95209
CURRENT_STATUS
01
SITE_LOCATION
6100 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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SLQUOULANALYTIC L SAMPLE,RECEIPT LOG <br /> k - (11"T NAM)". DA'IE C'ID AT LAB_ #D 0J)xink Ing tirater for <br /> R E.c)3Y(Plafm - ___l TMIF,it 1?.C'J)A'1'I.AA;�� f � • � regulatory puiposea: usNCl <br /> WORIIOI2I3ML. J-14i) A3 DATE LOGGED IN: fes-1.)-40 lVFjrelsatarfor <br /> 00 regulatory purposes: Y11,S{ <br /> CJXCLEMIEArPROP=TRxtk..SPONSN h" DASH CI.MNTID CONTAMER PIMSYM SA2LY Dh'i'k RE AIM, <br /> - , �1iYJpT1R # &:� I J)PSCRWTION V13,'nVF, MATRIX SANWLRD CONDITION(ETC.) <br /> Jiktact f J.irokeu* � - � <br /> 2, C'-hairt-ofCustod 1'resout bsod, <br /> 3 Tra€l'to Repo d.s or o' <br /> Facbng List RmeAt ca a T <br /> 4 Aublll- Aub)H 1 sticks# 03763 <br /> Present Absent <br /> S.Abbill#: _--- Q <br /> 6.Sans lc J.2bols. ent nt M Y o <br /> 7. Samplo U_3s r .is4c�l ut L?sled Z <br /> an alri 0��73f � <br /> 8 Sampla CondittonJnract rokeO 1 �..,}t i.> f7 '3- <br /> 2 3- <br /> - l1Clil ..! r <br /> 9 Uoes1"formMienon. G i 'f3 C0 ✓ , <br /> _ cilstvdy report.fraf&c - - <br /> imporb and sample , <br /> labels a ren? a* <br /> 14.Smnoartedvedwifta <br /> hold tune es Ne <br /> ll, PropcarFcaserxatixes - � _ - <br /> >ised' Yes No* _ <br /> 12 Temp Ree,at l.ab C - <br /> rs temp 4 4/-2'C7 Yes Nd*A - <br /> (Aocsph=Tanga for samplesfC4 tlrcrmeipre9) _ <br /> **Exeeptum(if any), 14fetals I DFF ('Oh dFrmmFWA - <br /> _or Problem= <br /> x int C1R.C:f XD,CONTACT PROJECT MANJ AGER AND A'ITA.CII I CORD ON RESOM 1'ION- <br /> Samplo ltecelpt Leg _ <br /> Re Aslan 3(onNW03) Page Df <br /> Roplaces Rev+slce 2.3(12124!42] <br /> ElrecrMe 031SM <br /> F <br /> F <br /> = Yr - <br />
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