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ARCHIVED REPORTS_XR0008223
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WEST
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2801
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2900 - Site Mitigation Program
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PR0504943
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ARCHIVED REPORTS_XR0008223
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Entry Properties
Last modified
6/18/2020 12:30:17 PM
Creation date
6/18/2020 12:21:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008223
RECORD_ID
PR0504943
PE
2951
FACILITY_ID
FA0004032
FACILITY_NAME
AMERICAN MOULDING & MILLWORK (FRMR)
STREET_NUMBER
2801
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11709001
CURRENT_STATUS
02
SITE_LOCATION
2801 WEST LN
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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LSauers
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EHD - Public
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!•`SAT! : gA <br /> A <br /> LOT RECEIPT CHECKLIST <br /> STL Sacramento <br /> CLIENT PM . . Q " LOG° 1 <br /> LOT, (QUANTIMS ID) G 2F_ QUOTEI I•t; LOCATION- y() <br /> S-zo--oz I(04 Initials Date <br /> DATE RECEIVED S-{-7 `oZ TIME RECEIVED {o2S <br /> 5 <br /> DELIVERED BY ❑ FEDEX ❑ CA OVERNIGHT CLIENT <br /> ❑ AIRBORNE ❑ GOLDENSTATE ❑ DHL'' <br /> ❑ UPS ❑ BAX GLOBAL ❑ GO-GETTERS <br /> '.' ❑ STL COURIER ❑ B & B ❑ OTHER <br /> CUSTODY SEAL STATUS ❑ INTACT ❑ BROKEN N/A <br /> CUSTODY SEAL I(S) <br /> SHIPPPING CDNTAINER(S) ❑ STL F�j CLIENT ❑ NIA <br /> TEMPERTURE RECORD (1N °C) IR 1❑ 2 ❑ KI OTHER <br /> COC In (5565$3 <br /> TEMPERATURE BLANK <br /> AMBIENT TEMPERATURE <br /> COLLECTOR'S NAME: <br /> El Verified from COC Tpot an COC <br /> pH MEASURED ❑ YES ❑ ANOMALY NIA <br /> LABELED BY................. <br /> ` LABELS CHECKED BY................................. ._................................ <br /> SHORT HOLD TEST NOTIFICATION SAMPLE RECEIVING <br /> WETCHEMJ4 NIA <br /> _ j ❑ METALS NOTIFIED OF FILTER/PRESERVE VIA VERBAL & EMAIL NIA <br /> ❑ COMPLETE SHIPMENT RECEIVED IN GOOD CONDITION WITH N/A <br /> is APPROPRIATE TEMPERATURES, CONTAINERS, PRESERVATIVES <br /> Clouseau ❑ TEMPERATURE EXCEEDED (2 °-6 °C). ❑ N/A <br /> ❑ WET ICE ❑ BLUE ICE ❑ GEL BACK <br /> [?`QPM NOTIFIED ❑ NO COOLING AGENTS USED <br /> Not:eS: W�- Dc+7 No� Q _C_z_cue SN+kyLe P- ,�15z `` c.a•}tiv.. AAs c,�sr oN T►t� L�t- <br /> QOu. ;4 t 44-c �oUrr <br /> s <br /> LEAVE NO SPACES BLANK. USE"NIA'IF NOT APPLICABLE. INITIAL AND DATE ALL"N/A"ENTRIES. CIA 185 8/00 NEK <br /> '2E170286 STL Sacramento 916-373-5600 5 of 41 <br />
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