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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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McCamf#ell Analytical Inc. Pa e� <br /> I10Second Avenue South,#ED7 INAIN-OF-CUSTODY RECORD g of i <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0312209 <br /> Report to Bill to Requested TAT 5 days <br /> Bill Little TEL (209)467-1006 Accounts Payable <br /> Advanced GeoEnvironmental, Inc FAX (209)467-1118 Advanced GeoEnvironmental, Inc <br /> 837 Shaw Road ProlectNo Flag City Chevron 837 Shaw Road Date Received 12/11/03 <br /> Stockton, CA 95215 PO Stockton, CA 95215 Date Punted 12/11/03 <br /> Requested Tests(See legend below) <br /> Sample IQ CllentSamplD Matrix Collection Date Holdl_. 1 2 13 4 5 ti 7 8 9 10 11 12 13 14 15 <br /> 0312209-001 MW 14 Water 12/10/03 8 10 00 ❑ A B B <br /> 0312209-002 MW16 Water 12/10/03 9 00 00 ❑ A B <br /> 0312209 003 MW 17 Water 12/10/03 9 50 00 ❑ A B <br /> 0312209-004 MW 18 Water 12/10/03 10 26 00 ❑ A i B <br /> Test Legend <br /> 1 G-MBTEX W 2 MTBE W [ pREQF REPORT 4 5 <br /> fi 7�— 8 9 10 <br /> 11 <br /> 1121 113114 15 <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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