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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 750 36 Pet Sciences CHAIN OF CUS TOD Y <br />� P d Box 750336 Petaluma,CA 94975-0336 <br /> �/N/�,/� 116 Liberty Street,Petaluma CA 94952 <br /> (707)769-3126 Lab Project Number <br /> Fax(707)764-8M3 Client's Project Name New West <br /> Client's Project Number NWP52 004 <br /> po qg �'lNFOI M1 t�lQl I" #ri�v f _ t _t4, <br /> Company Name ex Envirotech, Inc GeoTracker EDF X Yes No <br /> Address 11244 Pyrites Wy Global ID T0607736979 <br /> Gold River,CA 95670 ;=arflRgRp, I ,7y "flfr_F <br /> Contact Jennifer Worst e Same Day <br /> Phone# 916-8514)174 48 Hours 24 Hours <br /> Fax# 916-851-0177 5Days x Normal Page 1 of 1 <br /> e-mail Ltnnifer@apexenvirotech com <br /> dI <br /> t9 <br /> C <br /> Date # Presv n tab <br /> Item Client Sample ID ALT ID Sampled Time Matrix Cont. YIN o Comments Sample# <br /> U � <br /> CD x <br /> 0. F <br /> 1 CSA-31-1 CSA-31-1 - 0 water 3 yX X <br /> 2 CSA-31-2 CSA-31-2 o water 3 y X X <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> L108 <br /> 9 <br /> IGNA7'//RE�+'.�. �, <br /> my !1 Y `t'3'' -� i y;r~ S .. �anR .°:k�":��S >..� .i: F .lx�w <br /> Sampled By <br /> Relinquished By Rec � <br /> Signature Date Time Signature Date Time <br />
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