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ARCHIVED REPORTS XR0000265
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 XR0000265
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Entry Properties
Last modified
2/5/2019 4:06:19 PM
Creation date
2/5/2019 3:53:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000265
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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A� Analytical Sciences CHAIN OF CUSTODY <br /> P O Box 750336,Petaluma,CA 94875.0336 <br /> �JXI%f 110 Uberty,Street,Petaluma CA 94952 <br /> (707)76.43128 Lab Project Number <br /> Fax(707)769-$093 Client's Protect Name New West <br /> Clienrs Project Number NWPOi 004 <br /> GIE17 T�VFdRMATlON ` L r� <br /> Company Name Apex Envirotech,Inc GeoTracker EDP X Yes No <br /> Address 11244 Pyrites Wy Global ID T0607736979 <br /> Gold River,CA 95670 *MR*RQtfNl�tWit'(chi"ck vile)�yF <br /> Contact Jennifer Worsley Same Day <br /> Phone# 916-851-0174 48 Hours 24 Hours <br /> Fax# 916-851-0177 5 Days X Normal Page 2 of 2 <br /> e-mail lennifer(a?aAexenvirotech com <br /> 4 AMALYSW";r f"sL <br /> co <br /> C4 N <br /> N CD <br /> ca <br /> Date # Presv U o :: Lab <br /> Item Client Sample ID ALT ID Sampled Time Matrix Cont. YIN <br /> Nr- Comments Sample# <br /> U � CD= w <br /> H m !. <br /> 1 EW-5 EW-5 water 3 y X X X <br /> 2 MW-3B MW-3B water 3 v X X X /! <br /> 3 MW-4B MW-4B water y X X X - r Z <br /> 4 MW-5B MW-5B water 3 y X X X <br /> S MW-6B MW-6B Mlwater 3 y X X X / <br /> s MW-6C MW 6C 30 water 3 y I X X X <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> r s77 77 $K''. 'l' 1GMAA sx <br /> 7VRES ,�� <br /> Sampled By <br /> F:el,nqutshed Received By <br /> 3bov Mon), <br /> Signature Date Time Xgnodine Date Time <br />
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