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ARCHIVED REPORTS XR0000675
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 XR0000675
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Entry Properties
Last modified
2/15/2019 8:16:00 PM
Creation date
2/15/2019 3:36:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000675
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 9ll Analytical Inc. <br /> • i <br /> � <br /> 110 Second Avenue South,AD7 CHAIN-OF-CUSTODY RECORD Page 3 of 1 <br /> Pacheco CA 94553 5560 <br /> I (925)798-1620 WorkOrder 0312187 <br /> Report to Bill to Requested TAT 5 days <br /> j Tim Cuellar TEL (209)467-1006 Accounts Payable <br /> Advanced Geo Environmental, Inc FAX (209)467-1118 Advanced Geo Environmental, Inc <br /> 837 Shaw Road ProlectNo Flag City Chevron 837 Shaw Road Date Received 12/10/03 <br /> Stockton, CA 95215 PO Stockton, CA 95215 Date Printed 12/10/03 <br /> _ Requested Tests(See legend below) <br /> Sample ID ClientSamplD Matrix Collection Date Hold' 1 2 3 4 5 6 7 I B 9 E 10 11 12 13 14 15' <br /> -- -1 - - -- - -�� y r 1- 1 -14 <br /> 031218_7-001 j MW1 --- _ Water T 12!9103 12 28 00 I ❑ F A-� B r - --r-A�-- - <br /> [0312187 002 m�� MW2 -- ' Water 1 219103 2 01 00 PM, ❑ A B <br /> _ <br />
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