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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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AOPAnalytical Sciences4CHAIN OF CUSTOD9 p Box 750338 Petaluma,CA 94975-0336 <br /> 110 Liberty Street,Petaluma CA 94952 <br /> (707)769-3128 Lab Protect Number d�o� <br /> Fax(707)769-8093 Client's Protect Name New es etroleum <br /> Client's Protect Number NWP52 004 <br /> CLIENT INFORMATION <br /> Company Name Apex Envirotech, Inc GeoTracker EDF X Yes No <br /> Address 11244 Pyrites Wy Global ID 70607736979 <br /> Gold River, CA 95670 TURNAROUND TIME(check one) <br /> Contact Jennifer Worsley Same Day <br /> Phone# 916-851-0174 48 hours 24 Flours <br /> Fax# 916-851-0177 5 Days x Normal Page 1 of 1 <br /> e-mail iennifer6Dapexenvirotech corn <br /> ANALYSIS <br /> Date # Presv Lab <br /> Item Client Sample ID ALT ID Sampled Time Matrix Cont YIN N Comments Sample# <br /> co <br /> W <br /> H <br /> 1 W-0612-start W-0612-start 6112106 9 16 water 3 y X /- <br /> 2 W-0614-end W-0614-end 6114106 8 10 water 3 yX –(� <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> SIGNATURES <br /> Sampled By t,4( 4 d <br /> R lingo hed By Re iv <br /> oCo 11 S CY 1 <br /> Sign re Date Time Sig t r ate Time <br />
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