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ARCHIVED REPORTS XR0000670
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 XR0000670
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Entry Properties
Last modified
2/15/2019 6:43:40 PM
Creation date
2/15/2019 3:21:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000670
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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t� t� r•■Ir tI• tI• I• M <br /> McCampbell Analytical Inc. CHAIN-OF-CUSTODY RECORD Page ' of ` <br /> 110 Second Avenue South,#D7 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0208476 <br /> Client <br /> Advanced GeoEnvlronmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Flag City Chevro <br /> PO 28-Aug-02 <br /> Requested Tests <br /> Sample ID ChentSamplD Matrix Collection Date Bottle E200_9- �_ SW8015C 1802LE <br /> 1818015 SW8260B i <br /> - - - - -- - - --- - - - - --- <br /> 0208476-001 Influent- _Water 8127102 12 10 00 PM D B A C - ! <br /> 0208476-002 Effluent <br /> -Water - 8127102 12 1101 PM _ -- y 8 -� A -� C - -- - <br /> 1 -- -- <br /> Comments <br /> - - - - - - - s Date/Time r- - - - —--- - - - - - Date/1 ime - <br /> t- - <br /> Relinquished by Received by I <br /> Relinquished by -- --- _ _ __-- -- _ �- - - - Received by <br /> Relinquished by _ _ Received by <br /> MOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will he returned to client or disposed of at client expense <br /> Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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