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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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2200 - Hazardous Waste Program
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PR0538513
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
6/4/2020 12:05:06 PM
Creation date
5/29/2020 9:28:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0538513
PE
2220
FACILITY_ID
FA0016414
FACILITY_NAME
OLDCASTLE APG
STREET_NUMBER
4202
STREET_NAME
GIBRALTAR
STREET_TYPE
CT
City
STOCKTON
Zip
95206
APN
17728043
CURRENT_STATUS
01
SITE_LOCATION
4202 GIBRALTAR CT
P_DISTRICT
001
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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EYN <br /> Chain of Custody Record Turn Around Time (rush by advanced notice only) <br /> Lab No: — Z--7 '7 Standard: 5 Day: 3 Day: <br /> - Page: Of 2 Day: 1 Day: Custom TAT <br /> Enthalpy Analytical -Orange Matrix: A=Air S=Soil/Solid W= Preservatives: 1= Sample Receipt Temp: <br /> Water DW=Drinking Wate SD=Sediment Na2S203 2=HCl 3=HNO3 <br /> 931 W.Barkley Avenue,Orange,CA 92868 4=HzSO4 5=NaOH 6=Other <br /> PP=Pure Product SEA=Sea Water <br /> Phone 714-771-6900 SW=Swab T=Tissue WP=Wipe 0=Other (lab use only) <br /> CUSTOMER INFORMATION PROJECT INFORMATION Analysis Request Test Instructions/Comments <br /> g�gCompany: Quote# �� . <br /> (CSC S2 r'�`- `fie utir�ln�l< IMF. <br /> Report To: �ZyG4�1 i".2( l�l1r��1 Proj.Name: 5) (-et i) �'j hW' <br /> Email: r— "—f`1`X0 <C ( J .- W� Proj.#: r14 Rt <br /> Address: P.O.#: <br /> Address: <br /> Phone: (f/zl41'I(0 > Global ID: � <br /> Fax: Sampled By: <br /> Sampling Sampling Container <br /> Sample ID Matrix Pres. V <br /> Date Time No./Size <br /> 1 SA 4 5 1 <br /> 2 S•-Z Cdr U r.i..�! ?it 5 1 >c <br /> 3 =�i 1u C �I`�i - <br /> 4 <br /> 5 <br /> 6 <br /> 7 ' <br /> 8 <br /> 9 <br /> 10 <br /> Signa urenn Print Name Company/Title Date/Time <br /> 1 Relinquished By: .Phr YI C Cbr erj k., L(-l-;--20 fo:f <br /> 1Received By: <br /> 2 Relinquished By: <br /> 2 Received By: <br /> 3 Relinquished By: <br /> 3 Received By: <br /> W <br />
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