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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 WHAIN of CUSTODIP <br /> P O Box 750336,Petaluma,CA 94975-0336 <br /> 1 110 Liberty Street, Petaluma,CA 94952 <br /> (707)769-3128 Lab Protect Number Q �Q <br /> Fax(707)769-8093 Client's Project Name New tW>-i <br /> Client's Project Number _14fW5?,0,- - <br /> CLIENT INFORMATION <br /> Company Name Apex Envlrotech, Inc GeoTracker EDF es No <br /> Address 11244 Pyrites Way, Gold River, CA 95670 Global ID 7'06J77-.;;6" <br /> TURNAROUND TIME(check one) <br /> Contact �l it fZ Ltk¢S Same Day <br /> Phone# 916 851 0174 48 Hours 24 Hours <br /> Fax# 916 851 0177 5 Days•„— Norma! Page of � <br /> e-mail e,nn I a.Qe n,ri(0 ten r^ C*,� <br /> ANALYSIS 117 1 <br /> Date # Presv Lab <br /> item Client Sample ID ALT ID Sampled Time Matrix Cont l&N Comments Sample# <br /> 1u <br /> 1 fv- C6(f,-- trp ; 1016 H10 HG Q -Q <br /> 2 + ” OC<;9` >. sib f- azo 4 kc>-- <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> B <br /> 9 <br /> 10 <br /> SIGNATURES <br /> Sampled By / <br /> Relinquished By Re iv , <br /> ZL—Z 211 <br /> Signature Date Time Lire ate Time <br />
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