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ARCHIVED REPORTS XR0000675
EnvironmentalHealth
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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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0 0 <br /> McCam Gell Analytical Inc. <br /> p CHAIN-OF-CUSTODY RECORD lase I of 1 <br /> --� <br /> 110 Second Avenue South,!#D7 <br /> 4 Pacheco,(A 94553-5560 <br /> (925)798-1620 WorkOrder 0312187 <br /> Report to Bill to Requested TAT 5 days <br /> Y <br /> Tim Cuellar TEL (209)467-1006 Accounts Payable <br /> Advanced GeoEnvironmental, Inc FAX (209)467-1118 Advanced Geo Environmental, Inc <br /> 837 Shaw Road ProfectNo 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{S_ee_legend below) <br /> Sample ID ClientSarri Matrix Collection Date Hold' 1 2 i -3- 4 1 5 6 7 8 I 9 10 11 12 13 14 151 <br /> - ' -L-- - I- --�- �- _]__Z <br /> [0312-18-7--0-1-6— EW-_10 - -Wate - _ I ❑ A I B - -- <br /> 103121_87-017 r Influent Water 1219!03 3 10 06 PtVI <br /> _ <br /> -017-1, Influent n nt _ 1 -- ❑ C -_A- ! D S <br /> 10312187-018 j Effluent ® Water 112Y9103 3 20 00 PM ❑ C A -_ _- - S ! -- -- <br /> [0312187-019 __L - CSA-1 Water _1613 8 14 04 AM ❑ -- A B J---- - - - <br /> 10312187-020 T CSA-2 -Water 1219103 8-2 200 M ❑ A B <br /> -- ----_ - - -- _ - - - -----Z-- -- -- -� --- <br /> 7 <br /> Test Legend_ <br /> 1 9-OXYS_W-- - i r-2] G-MBTEX_W 1 ! 3- MTBEW - 4 4 T-- �PB_W 5 PREDF REPORT <br /> 6 - TPH(DMO}_W - JI 7-r- �1 I 8 - - - - ------ 9 1 1�10 <br /> - -- - --- .12 -- - --- -` 113 - - - 141 - --- i'5 - 1 <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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