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Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0536935
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Last modified
7/7/2020 9:27:02 AM
Creation date
7/7/2020 9:24:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0536935
PE
2950
FACILITY_ID
FA0021203
FACILITY_NAME
VACANT-FRMLY HOLLYWOOD VIDEO
STREET_NUMBER
678
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
14129014
CURRENT_STATUS
01
SITE_LOCATION
678 N WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> ISM W11-1.OW PA,"ROAD TURN AROUND TIME ❑ 0 <br /> PrfTRBI R(;,(A 91r65-1701 <br /> i <br /> Webs itc: www,ueecamnbtll.com }maul; main!u,mccampbellxout RUSH 24 1111 48 HR 72 HR SLAY <br /> Tglepbone: (877)252-9262 Fax: (925)252-9269 GeoTracker EDF ❑ PDF 0 Excel ❑ Write On (DW) ❑ <br /> ❑ Check if sample is effluent and ",I" flag is required <br /> Report To: Bgan Campbell Bill To: AEI Consul#ants Analysis Rei ticst Other Comments <br /> Corn pan : AEI Consaltants 2,501E Camino Diablo Walnut Cree k,CA 94597 i <br /> a 'Indicate <br /> here if these <br /> 1:-Ni>til: $Cairn bell aeiconsultants.com ; samples are <br /> Tele: 925 746-6044 Fax: 92 746-6099 � I I potentially <br /> Project#: 30SM2 PO WC093517 Project Dame; OK&S dangerous to <br /> Pro`ect Location: 678 1tlort aye Stocktonk.California } I handle: <br /> Sam ler Si nature: <br /> 1N Ill{7D �' <br /> 8 <br /> I <br /> SAMPLING L MATRIX i'RL.5F�tITD wj ' � <br /> SAMPLE ID LQCATIQNf y <br /> Field Point <br /> Name Date Time <br /> a — W �_ <br /> 7/101 zye <br /> 2xc <br /> �# r <br /> j IK X1 <br /> y y-fig k LK <br /> ! <br /> *"MAI client-4 h111tiI-diNcidw:gny danRrrunz rhemicalskmmwn Ru he prrzrui in theirsuhmiticd nmplem in muccntrafim cthm mmycawe immedimie hbrm nraerious future health endaNgermentick m rewltof brie F, <br /> gloved,npen air,sum pir handling by MAI siyff.Nun-dkrtinn re incurz An ininlediate S2i0 m irthyr9r and the client iz zuhjcet 14P full Irgal Iiahiliry fnr hArm Nuffrrfid, 'I'hAnk you for yf m1'understanding mnd ror <br /> allowing us to work bMkI '. <br /> R[llnquis - DRIC: Time; v ICSH' COMMENTS. <br /> ' r <br /> To <br /> GOOD CONDITION <br /> IIEAD SPACE ABSENT <br /> Minquishcd IC3: bxfe: Ti11nr; Rrceivrd$3: DEC]FLORIfYATED IN LAB <br /> APPROPRIATE COWA1NER.S <br /> PRESERVED IN LAB <br /> Rclingnislhed Ry: Dane= 7Fimc! Rrreivrd Fly- <br /> VOAS O&G Pet FT.AI S OTHER <br /> PRESERVATION DH<2 <br /> Page 3 of 19 <br />
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