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SR0084138
Environmental Health - Public
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2900 - Site Mitigation Program
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SR0084138
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Entry Properties
Last modified
12/9/2021 1:53:46 PM
Creation date
12/9/2021 1:37:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
CORRESPONDENCE
RECORD_ID
SR0084138
PE
2903
FACILITY_ID
FA0021303
FACILITY_NAME
WATERLOO FOOD & FUEL
STREET_NUMBER
3032
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14314030
ENTERED_DATE
8/25/2021 12:00:00 AM
SITE_LOCATION
3032 WATERLOO RD
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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'ALIFORNIA 1_130RATORY S ERVICEs CHAIN OF CUSTODY (TS ID. NO.,",1 <br />Report To: c lien' J4/11 Ntinibt.fr PRESERVATIVES P. i ANALYSIS REQUESTED t11:1 qRACK-1-8 <br />1.14 -RI POW1 Z Yl.,s ID N4 , <br />(ii I MAI 11) <br />7-06041-005"k3 <br />\:artir und Address i <br />P <br />ii <br />F <br />0 <br />i <br />5 <br />M6 <br />li <br />i <br />li <br />X <br />I <br />A <br />8 <br />— <br />0 <br />13 <br />N <br />a <br />1 <br />h <br />I <br />h <br />a <br />I <br />e <br />n <br />' <br />- <br />8. <br />2 <br />6 <br />0 <br />13 <br />5 <br />0 <br />X <br />g <br />e <br />11 <br />a <br />t <br />c <br />' <br />8 <br />2 <br />6 <br />0 <br />B <br />I. <br />D <br />B <br />. <br />1) <br />C <br />A <br />8 <br />2 <br />6 <br />Q <br />B <br />Apex Enviroteelt, Inc i)est inat ion 1.iitimiiiir,.. <br />11291 Pyrites Way, STE B, Gold River, CA <br />21 ( 1.4 1916) 638-7301 <br />324Q Fitz gerald Road <br />Rancho Cordova, CA <br />95742 8 ss vs ss.calitni-iiiiitati.ciiiii <br />El Ott I ER <br />Putpcv marwor nryant.141k% <br />1-•ronso Name <br />Willoloo )7 (04 & hid <br />III I 11 c()Nni-trms, <br />composrw <br />IL it% A ROI ND SPECIAI <br />.TINIF: IN DACUS INSTRUCTIONS <br />'samplcd Ri. 11C-N <br />lob Lless:ription <br />Addnional Soi1 !Mc...fig:Ilion <br />Nein Location 3032 Lust Wincrioti Road. St,,..1.1..ii i .III. 1 ism <br />DATF. TIM E. SANIPLE <br />IDENTIFICATION <br />FIELD <br />ID. <br />CONTNINFR <br />10 <br />MATRIX NO. FITE <br />0:.11.21 i ( , S..7 1., 5 NA Soil I Sleeve 3 X X X X X X <br />:H i21 71 / i 7 5 . S-7 '4! 10 NA Soil I Skev 3 X X X X X <br />INVi1ii . ! ti <br />.4 pcx <br />PUN <br />1)1101 riv <br />st SPE( 'T ED f 1.INS1 Di I.. WS "t Iii I - RFTEN.7 I ..)N rpm Pl1PilliVANVI'‘. i 1 114 1 il) t'411.0 <br />421 11N(). 1.0- Mini: <br />1(11 INI)t l!s.111 11 RV itiinatiiii.o. PRIM N AV; 1.. ost 1..0,s 1),V11.11X1F RI ( I'M 0 RN' 4 Stenutowl PRIVI NA11.14-1.414s1PAN-V <br />16.1/16i At& <br />RECEIVED AT LAB OM I:II Evil!: 4, Z.- 1 Je, / 0 coNnumwsiinMVIENIIN: <br />Or <br />KV: <br />SHIPPED WI : 0 ,nix 0 I 'PS 01..HER AIR-RILL h -5- •
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