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ARCHIVED REPORTS XR0000262
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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B
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BANNER
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6437
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2900 - Site Mitigation Program
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PR0526345
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ARCHIVED REPORTS XR0000262
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Entry Properties
Last modified
2/5/2019 4:10:31 PM
Creation date
2/5/2019 3:51:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000262
RECORD_ID
PR0526345
PE
2957
FACILITY_ID
FA0017827
FACILITY_NAME
FLAG CITY SHELL
STREET_NUMBER
6437
Direction
W
STREET_NAME
BANNER
STREET_TYPE
ST
City
LODI
Zip
95242
APN
05532019
CURRENT_STATUS
01
SITE_LOCATION
6437 W BANNER ST
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Analytical Sciences CHAIN DF CUSTODY <br /> 1 P 0 Box 750336,Petaluma,CA 94475-0336 <br /> n/,� <br /> ,f) 110 Lltmny Street,Petaluma,CA 94952 <br /> (707)769-3128 Lab Project Number <br /> Fax(707)769.8093 Client's Project Name tjqgo W — ozc' <br /> Client's Project Number jJl.a G2:Q� <br /> CLIENT INFORMATION <br /> Company Name Apex Envirotech,Inc GeoTracker EDF (jes No <br /> Address 11244 Pyrites Way,Gold River,CA 95670 Global ID bb <br /> TURNAROUND 71ME(check one) <br /> Contact NN IFt_fL 1Nca E Same Day <br /> Phone# 916 851 0174 48 Hours 24 Hours f <br /> Fax# 916 851 0177 5 Days X Normal Page t of <br /> e-mail Ek;,U ME7 �Vt2�7r' tF <br /> I <br /> ANALYSIS <br /> Date # Presv Lab <br /> Stem Cbent Sample ID ALT ID Sampled Time Matnx Cont 04 v Comments Sample# <br /> 1 11-d97Ae 5-fy-(76 <br /> 2 w' oGiU- �Wo �e 0&6 wo 71q4f►- -a <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> SIGNATURES <br /> Sampled By .f <br /> Relinquished By4RecWd183W row ;lSgnature Date Time <br /> D to Time <br />
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