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ARCHIVED REPORTS_XR0008587
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WATERLOO
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2358
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2900 - Site Mitigation Program
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PR0543607
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ARCHIVED REPORTS_XR0008587
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Entry Properties
Last modified
10/10/2020 10:14:04 PM
Creation date
7/9/2020 10:01:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008587
RECORD_ID
PR0543607
PE
3528
FACILITY_ID
FA0006343
FACILITY_NAME
STOCKTON MOBIL 3*
STREET_NUMBER
2358
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14118221
CURRENT_STATUS
02
SITE_LOCATION
2358 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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LSauers
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EHD - Public
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2795 2nd Street, Suite 300 <br /> .�� Davis,CA 95616 <br /> Lab 530 297 4800 �} f <br /> ANALYTICAL LLC Fax 530 297 4808 Lab No / 2 7 Page l or + <br /> Pro Contact(Hardcopy or PDF To) California EDF Report? Yes ❑No <br /> Kac V ' �� Chain-of-Custody Record and Analysis Request <br /> Company/Address I�ecomnnndaaqutnat m BiessWiarc <br /> Sampling Company Log Code Q <br /> Analysis Request <br /> Phon o FAX No Global ID m R <br /> Propct Number P O No /� , L`"� EDF Deliverable To(Email Address) <br /> 1 '3z, 114 t q , "[ 4w O <br /> Prole Name Sampler Signature , 9 E m m Ln w 0 <br /> Project Addr ss = a N <br /> M S o N :. <br /> Sampling Conte a Preservative Matrix o t �? N ; <br /> f Gy Q C7 umi o N 2 � � � ��., CO � <br /> !P 0m O <br /> 56 Q C C C m LU CO �?g � = N L IL <br /> E W O 2 I— m m C7 tp th � m N <br /> x K q <br /> Sample Designation Date Time v x z v z Q m F a o a o o J J <br /> 15-fa [ k of <br /> Isis o Z <br /> Lz�: <br /> Relinquished by 1 -41 Date Time Received h Remarks <br /> 1'�GS IWO <br /> Relinquish by Date Time Received by <br /> Relinquished by Date Time Received by Laboratory I 1 Bill to <br /> 91 a 1 y�o N wpl <br /> Distnbutron Mite-Lab Pink-Ongrnator 1FormslCOc 121001 fh9 <br />
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