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SITE HISTORY
Environmental Health - Public
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EHD Program Facility Records by Street Name
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VAN BUREN
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733
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3500 - Local Oversight Program
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PR0545787
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SITE HISTORY
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Entry Properties
Last modified
6/15/2020 11:25:14 AM
Creation date
6/15/2020 11:20:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0545787
PE
3528
FACILITY_ID
FA0009091
FACILITY_NAME
MASONITE CORPORATION
STREET_NUMBER
733
Direction
S
STREET_NAME
VAN BUREN
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
14711010
CURRENT_STATUS
02
SITE_LOCATION
733 S VAN BUREN ST
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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11 <br /> ■ 1 SECiUOI/"►A <br /> ANALYTICAL ❑ 680 Chesapeake Drive- Redwaod City, CA 94063 - (415) 364-9600 FAX (415) 364-9233 . <br /> �:� ❑ 019 West Striker Ave. - Sacromenlo, CA 95834 - (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN OF, CUSTODY ❑ 1900 Hales Ave., Suile LM - Concord, CA 94520 - (510) 666-9600 FAX (510) 6b6-6689. <br /> Company Name: ' Project Name: <br /> O,Ua2 57. o v <br /> Address: ; Billing Address ( it different): <br /> r <br /> City: Slate: Zip Code: <br /> Tele hone: i <br /> � FAX#: P.O. #: 2 0 <br /> Report To: IISampler: `.. <br /> QC Data: ❑ Level A(standard) ❑ Level B ❑ Level C ❑ CLP ' <br /> Turnaround Time: 15 Working Days ❑ 3 WorkingDasAnalysesc ` <br /> Y ❑ 2-8 Hours Re uested n- <br /> ❑ 10 Working Days ❑ 2 Working Days i <br /> j ❑5 Working Days ❑ 24 Hours <br /> Client Datefrime Matrix #01Cot ! <br /> Sequoia's �l 1 <br /> Sample I.D. Sampled Desc. Conl• Type Sample # Comments <br /> G <br /> J 1 <br /> V(0 - 0D. 3 ' <br /> 2. I f uJCS 7c 4 f y¢y�z 1 r� ,x <br /> LLI �oS U) <br /> y r �1 ; <br /> 3. /e o i <br /> �< 9 . 1.264(4 <br /> � . <br /> 6. <br /> 7. <br /> A lr <br /> 8. <br /> m <br /> 9. <br /> 10. <br /> Relinquished By: Date. Time:y Received By: C�12 Date: T1 me: /S <br /> Relinquished By: Date Time: ! j <br /> k Z + Received By.: Dale: •' ,. YW <br /> 1 me: <br /> Relin uished B Date: Ifome: Received B Lab + <br /> ' Date: ime: # <br />
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