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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 of CUSTODY <br /> P O Bax 750336,Petaluma CA 94975-033$ <br /> 110 Liberty Street,Petaluma,CA 94952 <br /> (707)76M128 Lab Project Number <br /> Fax(707)769-8093 Client's Project Name New West Petroleum <br /> Client's Project Number NWP52004 <br /> CL*NT1#1EbJMATJ0N,, <br /> Company Name Apex Envlrotech, Inc GeoTracker EDF X Yes No <br /> Address 11244 Pyrites Wy Global ID 70607736979 <br /> Gold River,CA 95670 7'URNA 0UNA7 klE{c eek an <br /> Contact Jennifer Worsley Same Day <br /> Phone 0 916-651-0174 48 Hours 24 Hours <br /> Fax# 916-651-0177 5 Days X Normal Page 1 of 1 <br /> e-mail iennrferCo)apexenvirotech com <br /> = ANALYSIS — <br /> b�F <br /> Date # Presv o Lab <br /> Item Client Sample ID ALT ID Sampled Time Matrix Cont. YIN � Comments Sample# <br /> tiJ <br /> 07 <br /> M <br /> 1 W- -start W-&1q-Start 46 water 3 y X <br /> 2 W- 2 -end W-66Z/-end aZ14 07gO water 3 y X <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> SIGNATURES2Time <br /> Sampled ByRehngmshed By Receiv ySignature Date Time Sig t re Date <br />
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