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ARCHIVED REPORTS XR0000670
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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.� �. � �. �■ � �■ Ill � � t• � � � r � � � <br /> Mccampfell An cal Inc. • <br /> 110 Second Avenue South,#D7 CHAIN-OF-CUSTODY RECORD Page I of I <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 <br /> WorkOrder 0207451 <br /> Client <br /> Advanced GeoEnvironmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Flag City Chevro <br /> PO 31-Jul-02 <br /> � -- - --- Requested Tests - - --- ----- <br /> Sample ID ClientSamplD Matrix Collection Date Bottle E200 9 j SW8015C 8021B180F5 uested <br /> - - - --- - -- - --- - - - - ----A- <br /> 0207451-001 Effluent --�- Water 7129102 5 15 00 AM B A C - <br /> 10207451002Influent Water 7129102 5 00 00 AM D B A C <br /> Comments <br /> - — ---_T_ - -- —� Date/Time -� - -- -- Date/Time T <br /> Relinquished by — _ Received by <br /> Relinquished by: _ Received by. — <br /> Relinquished by. Received by: <br /> i <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 <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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