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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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McCa*ell Analytical, Inc. 0 <br /> -1 110 Second Avenue South,#D7 HAIH-OF-CUSTODY RECORD Page 1 of 1 <br /> Pacheco,CA 94553-5560 <br /> (925)748-1620 <br /> WorkOrder. 0405225 ClientID. AGES <br /> Report to <br /> Tim CuellarTEL (209)467-1006 Bill to Requested TAT 5 days <br /> Accounts Payable <br /> Advanced GeoEnvlronmental, Inc FAX (209)467-1118 Advanced Payable ironmental, Inc <br /> 837 Shaw Road ProlectNo Flag City Chevron 837 Shaw Road Date Received <br /> Stockton, CA 95215 PO Stockton, CA 95215 5/141fl4 <br /> Date Printed 5114104 <br /> Requested Tests(See legend below) <br /> Sample ID CllentSamplD Matrix Collection Defe Hold 1 2 3 4 5 $ <br /> 7 8 9 10 11 12 13 14 15 <br /> 0405225-001 Influent �Waer 5113104 12 12 00 ❑ B A la A C <br /> 0405225-002 Effluent r 511310412 35 00 ❑ B A C <br /> 0405225-003 SS-4 Water 5113104 12 16 00 ❑ A <br /> Test Leaend. <br /> 1 5-OXYS W 2 9-OXYS_W _� 3 G#STEX=W_ 4 P8 W <br /> 5 PREDF REPORT <br /> 14 <br /> Prepared by- Melissa Valles <br /> Comments: <br /> NOTE Samp4es are discarded 60 days after results are reported unless other arrangements are inade Hazardous samples will be returned to client or disposed of at client expense <br />
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