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ARCHIVED REPORTS XR0000647
EnvironmentalHealth
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CAPITOL
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2900 - Site Mitigation Program
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PR0522496
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ARCHIVED REPORTS XR0000647
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Entry Properties
Last modified
2/15/2019 7:51:52 PM
Creation date
2/15/2019 3:08:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000647
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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McCa*ell Analytical, Inc. <br /> 1 agc.�of ] <br /> j 110 Second Avenue SOnth,#fD7 41HAIN-H-CUSTODY RECORD <br /> Pacheco CA 94553-1560 w <br /> I (925)798-1620 Woi l.Order 0409206 ClientID AGES <br /> I <br /> Report to Billto Requested TAT 5 days <br /> Tim Cuellar TEL (209)467-1006 Accounts Payable <br /> Advanced GeoEnvlronmental, Inc FAX (209)467-1118 Advanced GeoEnvlronmental, Inc <br /> 837 Shaw Road ProlectNo Flag City Chevron 837 Shaw Road Date Received 9115104 <br /> Stockton, CA 95215 PO Stockton, CA 95215 Date Printed 9115104 <br /> Requested Tests(See legend below) <br /> Sample ID ChentSamplD Matrix Collection Date Hold 1 _� 2- 3 4--i 5 6 7 8 j 9 10 11 12 13 I 14 15; <br /> - - - -- - — -- - i-- <br /> 0409206=031 MW 130/091304Water 9113104 2 34 00 PM; ❑ - A— l3� _ _ -- _� W <br /> L0409206-032 i MW 13D1091304 Water 19/13/04 2 54 00 PM' ❑ q B <br /> r-- _- r -- - — — --8 I I a <br /> 0409206-1733 MW 19A/091304 Wafer 1911 3104 3 54 00 PM' ❑ - A 8 <br /> ' --� n -- � �-- � <br /> ,0409206-034 , MW19B1091304 Water 911 3104 4 1 3 00 PMi ❑ A B <br /> 10409206 035_ MW41091304 Water 91131D4 3 16 00 PMI _ <br /> i <br /> �1�Y - —_: — A B j <br /> G0409206-036 i MM /091304 Water 9113/04 1 56 00 PM' A <br /> Test Legend <br /> 1 G-MBTEX_W 1 12� MTBE W — �' 3 PREDF REPORT --- <br /> 6 -- - J 71 S � --- - - 9-� _ --- - - I 11101 - -y --- <br /> - -- 13_1 -- --- `14 --- -- - - I 1 15 1 <br /> Prepared by Elisa Vene-as <br /> Comments <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous sampfes will be returned to client or disposed of at client expense <br />
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