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ARCHIVED REPORTS XR0000648
EnvironmentalHealth
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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 XR0000648
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Entry Properties
Last modified
2/15/2019 9:28:37 PM
Creation date
2/15/2019 3:09:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000648
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
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EHD - Public
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Mccam elf Analytical, Inc. HA�N-OF-CUSTODY RECORD Page I of t <br /> 110 SeLond Avenue South,#D7 <br /> Pacheco CA 94553-5560 <br /> (925)798 1620 WorkOrder 0507002 C1lentiD AGES <br /> Reportto Bill to Requested TAT 5 days <br /> Tlm Cuellar TEL (209)467-1006 Accounts Payable <br /> Advanced Geo Environmental Inc FAX (209)467-1118 Advanced GeoEnvlronmental, Inc <br /> 837 Shaw Road ProlectNo Flag City Chevron 837 Shaw Road Date Received 07/01/2005 <br /> Stockton, CA 95215 PO Stockton, CA 95215 Date Printed 07/01/2005 <br /> Requested Tests(See legend below) <br /> Sample ID Chent5amplD Matrix Collection Date Hold', 1_ 2 3 4 -;- 5 6- �� 7 -8 9 -10 11 12 i -13 j 14 115 <br /> 10507002-016 MW 130 W ater j 6130105 10 20 00 ' ❑ A B j <br /> 0507002-017 MW19A Water f 16/30/05 9 30 00 AMI ❑ A i B I <br /> L0507002-018 MW 196 _ Water 6!30!05 10 2fi 00 i ❑ A B _ <br /> Test Legend <br /> -1 - G-MBTEX_W rl 2 e MTBE_W -- 3 i PREDF REPORT 14 5 <br /> 7 - --__ - --- - 1 - i - - - - - --_ -_= r - <br /> �-� -- - - - --- I <br /> 12; W�-- —� -- - 13 - ---` - -- t14�— ----- - 15 -- - --- <br /> Prepared by Marta Venegas <br /> Comments <br /> NOTE Samples are discarded 60 days atter results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br />
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