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ARCHIVED REPORTS XR0000648
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 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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Page Io 1 <br /> McCampbell Analytical, Inc. CAIN-OF-CUSTODY RECORD <br /> 1 10 Second Avenue South,#D7 7 <br /> I Pacheco CA 94551 5560 <br /> -� WorkOrder 0507050 ChentlD AGES <br /> (92:))798 1620 <br /> Bill to Requested TAT 5 days <br /> Reportto Accounts Payable <br /> Tim Cuellar TEL (209)467-1DD6 <br /> FAx 209 467-1118 Advanced GeoEnvironmental, Inc Date Received 0710612005 <br /> Advanced Geo Environmental, Inc t } 837 Shaw Road <br /> 837 Shaw Road ProjectNo Flag City Chevron <br /> Stockton, CA 95215 Date Printed 0710612005 <br /> Stockton, CA 95215 PO <br /> Requested Tests(See legend below)-� <br /> Sample ID ChentSamplD Matrix Collection Date Bold 1 2 I - 3 ---4- - ` 12 13 14 15l <br /> 5 6 7 8 9 10 <br /> MW20A - r Water 711!05 9 19 00 AM ; ❑ <br /> 05070_50-001_ - - - ss��___ -- _ �- �= - - _ - <br /> 0550 002 - MW20B Water 711105 9 33 00 AM ❑ A B_] <br /> 070 — _ <br /> Test l_eciend - - <br /> 2 MTBE _ 3 PREDFR_EPORT 4 I _ _ 5 1- <br /> 1 4 G-MBTEX_W ---t- - - - - - — _ --- 10�� <br /> 91 <br /> 6 ' - I- -L __ - - - - =-- _ --� 15 - ---- ----� <br /> - - - 13 14l <br /> 11 i' — 1�� - - - - - - <br /> T Prepared by Melissa Valles <br /> Comments <br /> NOTE 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 1 <br />
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