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ARCHIVED REPORTS XR0000679
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 XR0000679
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Entry Properties
Last modified
2/15/2019 8:22:33 PM
Creation date
2/15/2019 3:51:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000679
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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i • <br /> McCamFtl Analytical Inc. CHAIN-OF-CUSTODY RECORD page I of I <br /> 110 Second Avenue South,#D7 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0307008 <br /> Client <br /> Advanced Geo Environmental, Inc TEL (209)467-1006 <br /> 837 Shaw Roar{ FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Flag City Chevron Date Deceived 711103 <br /> PO Date Pnnted 711103 <br /> Requested Tests <br /> Sample ID CltentSamplD Matrix Collection Date Hold E-SW815C 8 02 1 818 01 5 SW82608 <br /> 0307008 017 MW 138 Water 6127103 1 43 00 PM E] A A �' B <br /> 0307008-018 MW13C Water 6127103 1 25 00 PM ElA A B <br /> 0307008-019 MW13D Water 612 107 3 1 00 00 PM ❑� A A B <br /> 0307008 020 MW 11 D Water 6127103 2 36 00 PM E] A A B <br /> Prepared by Maria Venegas <br /> I <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 I <br />
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