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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1200 - Lead Program
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PR0529468
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COMPLIANCE INFO
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Last modified
8/10/2021 10:00:36 AM
Creation date
8/10/2021 9:02:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1200 - Lead Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0529468
PE
1201
FACILITY_ID
FA0019562
FACILITY_NAME
KING, PETER R
STREET_NUMBER
38
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
15121052
CURRENT_STATUS
02
SITE_LOCATION
38 S AIRPORT WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\wng
Tags
EHD - Public
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State ID# <br /> XRF READINGS, CONT. f k r <br /> Address sampled Date collected <br /> 38' -500—W /X,efVR7 o3 �3u 1 oq <br /> City County Zip <br /> S-1pGknti Sftj To&)'Lffrl 9S'246 <br /> XRF DUST WIPE READINGS(µg/ft')Use ASTM approved wipes only. <br /> Dust standard range Frnal calibration(60 Ssec x 4) <br /> 42Rea4(( Pg Reading no. 37- Value 1��,Sg /42- <br /> Reading <br /> ding Component Result Resulr Result <br /> No. Location Room/Side(per HUD) I Component Condition Dimensions (ug) <br /> ❑InteriorE)Living room ElBedroom Floor ❑Intact ® 1211x:1211 [I Yes <br /> ®Exterior ❑Kitchen ❑Bathroom ❑Ylndow well F Fair ❑Other: ,[K t 1 <br /> 37 ®Other: P61tc ❑Ylndow sill ❑Poor '+f 76 1If.74 <br /> Side: B C D J Other: <br /> ®Interior tk Living room ❑Bedroom Fioor ❑Intact ®12"x 12'1 ❑Yes <br /> ❑Exterior ❑Kitchen ❑Bathroom I Window well ®Fair ❑Other: zs No <br /> `l4 <br /> /7 ❑Olher: I L1Window sill ElPoor <br /> Side: 9 B C D EJ Other: <br /> ®Interior �R Living room ❑ Bedroom ❑ Floor ❑Intact ❑ 121rx 12" � Yes <br /> ❑Exterior ❑Kitchen ❑ Bathroom i ❑Ylndow well ®Fair ®Other <br /> (j7 ❑Other: �lWindow sin ❑Poor uNx29�r Z/J Zrji Z3.6 <br /> 77 Side: A g C p Other: <br /> ❑Interior LJ Living roam ❑Bedroom I] Floor ❑Intact ❑ 12"x 12'1 !Yes <br /> ❑Exlerior 11 Kitchen El Bathroom i'—f Ylindow well ❑Fair ❑Other- ^ o <br /> ❑Other. ❑Ylindo'.v siI{ ❑Poor <br /> Side: A R C D E '❑Other- <br /> l <br /> ❑Interior <br /> ❑Living roam ❑Bedroom ❑ Floor ❑Intact ❑12rrx 12"1 C Yes <br /> ❑Exterior ❑Kitchen ❑ Bathroom ❑Window well ❑Fair ❑Other: C No <br /> ❑Other: ❑Window sill ❑Poor <br /> Side: A B C D ❑Other-. <br /> ❑Interior ❑Living room ❑Bedroom ❑ Floor ❑Intact C] 12"x 12" ❑Yes <br /> ❑Exterior ElKitchen ElBathroom C3Ylndow well ❑Fair ❑Other: <br /> ❑Other: ❑Window sill ❑Poor <br /> Side: A 8 C D ❑Other. <br /> ❑ Interior ❑Living room ❑Bedroom ❑ Floor ❑Intact ❑ 12f1x 1211 ❑Yes <br /> ❑ Exterior ❑Kitchen ❑Bathroom ❑Window well ❑Fair ❑Other: C No <br /> ❑Other: ❑Vfindow sill ❑Poor <br /> Side: A B C D ❑Other. <br /> XRF BARE SOIL READINGS(ppm) <br /> Mer NIST 1 f 62 ppm N=� 9)CM_2586 Calibration reading(60 Ssec) <br /> Range 78 ppm I?tw&y; 384-*75 Reading no. Value 39/ 9 M <br /> Reading Reading Result <br /> No. Location Side(per HUD) Test Type (ppm) >-std.? <br /> ❑Dripline ®Play area 8 C D ❑suriace ❑Yes ❑No <br /> ❑Other source: <br /> ®Test cup $6V-. 7/ ®Yes ❑No <br /> ❑Dripline ®Play area A 8 C © ❑Suriace ❑Yes ❑No <br /> SQ ❑Other source: <br /> Test cup �Q 2,&� El Yes ®Na <br /> ❑Dripline Cl Play area A 8 C D ❑Suriace ❑Yes ❑No <br /> ❑Other source: ❑Test cup ❑Yes ❑No <br /> ❑Dripline ❑Play area A B C D ❑Surtace Cl Yes ❑No <br /> ❑Other source: <br /> ❑Test cup ❑Yes ❑No <br /> ❑Dripline ❑Play area A B C D [I Surface ❑Yes ❑No <br /> ❑OSher source: E]Yes El No <br /> ❑Test cup <br /> 3/04 Lead Poisoning Follow-up Form California Department of Health Services Childhood Lead Poisoning Prevention Branch Page 16 <br />
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