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COMPLIANCE INFO_2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MCKINLEY
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2200 - Hazardous Waste Program
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PR0514244
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
8/17/2020 4:35:51 PM
Creation date
5/18/2020 4:40:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0514244
PE
2220
FACILITY_ID
FA0003833
FACILITY_NAME
Super Store Industries - Grocery Division
STREET_NUMBER
16888
STREET_NAME
MCKINLEY
STREET_TYPE
Ave
City
Lathrop
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
16888 McKinley Ave
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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McCampbell Analytical, Inc. CHAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> 1534 Willow Pass Rd <br /> Pittsburg,CA 94565-1701 WorkOrder: 2001331 ClientCode: FESV <br /> (925)252-9262 <br /> �WaterTrax ::]WriteOn EEDF L]Excel OEQuIS ❑v Email ❑HardCopy ❑ThirdParty ❑J-flag <br /> ❑■ Detection Summary ❑■ Dry-Weight <br /> Report to: Bill to: Requested TAT: 5 days; <br /> Dina Barron Email: jsmedley@hazwasteremoval.com;dbarron Accounts Payable <br /> Fremouw Environmental Services, Inc. cc/3rd Party. Fremouw Environmental Services, Inc. <br /> 6940 Tremont Rd. PO: 6940 Tremont Rd. Date Received. 01/09/2020 <br /> Dixon, CA 95620 Project: 87844; SSI Lathrop Dixon, CA 95620 Date Logged. 01/09/2020 <br /> (800)559-3274 FAX: 707-447-3499 ap@hazwasteremoval.com <br /> Requested Tests(See legend below) <br /> Lab ID Client ID Matrix Collection Date Hold 1 2 3 4 5 6 7 8 9 10 L11 12 <br /> 2001331-001 SSI-001 Water 1/8/2020 07:00 1:1 A A <br /> 2001331-001 SSI-002 Water 1/8/2020 07:00 1:1 B <br /> 2001331-001 SSI-003 Water 1/8/2020 07:00 ❑ C <br /> Test Legend: <br /> 1❑ CAM17MS_TTLC_Sed2❑ G-MBTEX_W F3 PRDisposal Fee ® TPH(DMO)_W <br /> ❑5 © ❑7 <br /> F9 10 11 12 <br /> Project Manager: Rosa Venegas Prepared by: Kena Ponce <br /> Comments: <br /> NOTE: Soil samples are discarded 60 days after results are reported unless other arrangements are made(Water samples are 30 days). <br /> Hazardous samples will be returned to client or disposed of at client expense. <br /> Page 12 of 15 <br />
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