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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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PROJECT RECEIPT CNEGKLIS! <br /> off. % Quantims Lot � � D�� Quote #: <br /> -:- y Client Name: Project: <br /> Received by: IOWZ L 1 Data/Time Received: <br /> Delivered by :❑Client ❑Airborne Fed Ex ❑DHL ❑ln-House Courier ❑Rey B. <br /> ❑UPS ❑DES MOther <br /> •......................•............♦.s4........•.........6.4.....................s...........■......... <br /> .. <br /> Initial / Date <br /> Custody Seal Status: Pntact ❑Broken []None ..........._................................ %� �� D <br /> r., Custody Seal #(s): �p��y []No Seal �' ........... <br /> Sample Container(s). ❑STL-LA Client ❑NIA .......... . ................................... <br /> Temperature(s) (Cooler/blank) in °C: ,?---0LCorreczion factor-••'4.J {Corrected Temp.) <br /> Thermometer Used : ID: ®IFi (intra-red) Digital (Probe) <br /> Samples: ©Intact []Broken ❑Other ........., <br /> Anomalies: [�No ❑Yes (See Clouseau) ................................ ... <br /> Labeledby ............................... ................................ ............................................... <br /> Labelingchecked by ............... ....•-............................................................................. <br /> ___ • .••L.......................►..........•..•...................................•.........f................. <br /> - Turn Around Time:❑RUSH-24HR ❑HUSH-48HR ❑RUSH-72HRNORMAL ......... <br /> Short-Hold Notification: ❑Ph ❑Wet Chem ❑Metals (f=ilter/Pres) �ncore pN1A ... <br /> Outside Analysis(es) (Test/Lab/Date Seat Out) <br /> .................. <br /> ................... <br /> •"•'•"" LEAVE NO BLANK SPACES ;USE N!A "•'_'.•,' <br /> Fraction PH <br /> VOM r NIA <br /> J <br /> r:{ti <br /> :-J <br /> ` _> eaSodium Zna:ZinAc=m/Sodius: n/f: NO3-Field HlJ03 nJdHNO3-Lab O1[ecdHydoxide Rydmzidc 82SO4 <br /> filrerrd <br /> CGl:ClearGless CG9:C1t2rG1Ms AGJ:Ambcr AGB=AmberGlas9 PB:polyBottic E:Encnrt V:VOA SL:Slceae <br /> 3,VBOUIC Glass Jar Book Sarmler <br /> j i *Number of VOA's w/Headspace present <br /> LOGGED BY/ �a.- 2_3 VIEWED BY/DATE: V <br /> - --_:J ..c.y.r ai�a�e�r �w.v.o•e..o.c.rw4.. <br /> t�E170286 STL Sacramento 916-373-5600 12 of 41 <br />
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