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ARCHIVED REPORTS XR0000674
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 XR0000674
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Entry Properties
Last modified
2/15/2019 7:32:34 PM
Creation date
2/15/2019 3:34:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000674
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 0 ell Analytical, Inc. • <br /> 1 I10Second Avenue South,#D7 ?HAIN-OF-CUSTOOY RECORD Page I of I <br /> Pacheco,CA 94553-5560 <br /> v (925)798-1620 <br /> WorkOrder: 0404203 <br /> Report to 6111 to Requested TAT 5 days <br /> Tim Cuellar TEL (209)467-1006 Accounts Payable <br /> Advanced GeoEnvlronmental, Inc FAX (209)487-1118 Advanced GeoEnvlronmental, Inc <br /> 837 Shaw Road ProjectNo Flag City Chevron 837 Shaw Road Date Received 4115104 <br /> Stockton, CA 95215 PO Stockton, CA 95215 Date Pnnted 4115104 <br /> Requested Tests{See legend below) _ W <br /> Sample ID ChentSamplD Matrix Coliectlon Date HoldEl =2 3 4 5- ; -"i '�r 8- g 10 11 1213 <br /> 14_� 151 <br /> 444203-001 Influent Water 4114104 12 10 00r A — —T <br /> 04203-002 -�- <br /> I <br /> Nv� SS_-1 Water 4114104 12 14 00 ❑ A <br /> 0404203-003 - Effluent Water 4/14104122800 ❑ _ C A B <br /> i <br /> Jost Leaggd <br /> XYS_W 2 8-OXYS_W lr3�� G-MBTEX W , -�- PB W -~� ATP_ <br /> C <br /> H(DMO)_W <br /> -- --_� _ _ _ I C ---- -- --_� °I--_-_ -_--- - --- 1 <br /> 1 131_T — — 14 <br /> Prepared by. Maria Venegas <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 <br />
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