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ARCHIVED REPORTS XR0000643
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CAPITOL
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6421
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2900 - Site Mitigation Program
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PR0522496
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ARCHIVED REPORTS XR0000643
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Entry Properties
Last modified
2/15/2019 6:19:45 PM
Creation date
2/15/2019 3:02:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000643
RECORD_ID
PR0522496
PE
2957
FACILITY_ID
FA0015317
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95245
APN
05532024
CURRENT_STATUS
02
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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1p <br /> McCampbell Analytical, Inc. INAIN-OF-CUSTODY RECORD Page Of 1 <br /> 110 Second Avenue South #137 <br /> Pacheco CA 94553-5560 <br /> (925)798-1620 WorkOrder. 4509641 ChentlD AGES t EDF- YES <br /> I <br /> Report to Bill to Requested TAT 5 days <br /> Tim Cuellar TEL (209)467-1006 Accounts Payable I t <br /> Advanced GeoEnvlronmental, Inc FAX (209)467-1118 Advanced GeoEnvironmental, Inc <br /> 837 Shaw Road ProlectNo Flag City Chevron 837 Shaw Road Date Received 09/29/2005 <br /> Stockton, CA 95215 PQ Stockton, CA 95215 Date Pnnted 09/29/2005 <br /> Requested Tests(See legend below) l <br /> Sample ID ClientSamplD Matrlx Collection Date Hold 1 2 3 4 5 6 7 8 9 10 11 12 1 13 14 15 <br /> 40509641-031 MW208 Water 91281Q5 9 34 00 AM ❑ A i <br /> d <br /> Ih <br /> 5 <br /> j <br /> 1! <br /> I 1I <br /> ' 11 <br /> i <br /> fest Legend <br /> -1 L G-MBTEX_W MTBE_W 3 �PREDF REPORT C� <br /> la <br /> F-7 8 1Q _ _ V <br /> 11� - 12 _ 13� 74 1S <br /> u <br /> Prepared by. Maria Venegas <br /> 1 <br /> i <br /> Comments I <br /> NOTI; Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br /> 14 <br /> s I <br />
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