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ARCHIVED REPORTS XR0003381
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2725
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3500 - Local Oversight Program
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PR0544596
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ARCHIVED REPORTS XR0003381
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Last modified
6/24/2019 2:17:40 PM
Creation date
6/24/2019 1:42:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003381
RECORD_ID
PR0544596
PE
3528
FACILITY_ID
FA0002064
FACILITY_NAME
7-ELEVEN INC. STORE #14117
STREET_NUMBER
2725
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2725 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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m4r' m �1 <br /> McCamp ell Analytical Inc. Page i of 1 <br /> 110 Second Avenue South,#D7 CHAIN-OF-CUSTODY RECORD <br /> Pacheco,CA 94553-5560 <br /> (925)799-1620 WorkOrder 0204250 <br /> Client <br /> I T Corporation TEL (925)288-9898 <br /> 4005 Port Chicago Hwy FAX (925)288-2119 <br /> Concord,CA 94553-2233 ProlectNo #14117, STHLIS <br /> PO 15-Apr-02 <br /> Requested Tests <br /> Sample ID ClientSamplD Matrix Collection Date Bottle 8021BI8015 SW8260B <br /> 0204250-001 MW-6 Water 4112102 10 59 00 AM A B <br /> 0204250-002 MW-5 Water 4112102 10 59 00 AM A B <br /> 0204250-003 MW-7 Water 4112102 11 13 00 AM A T B <br /> 0204250-004 MW-1 Water 4112102 11 30 00 AM A B <br /> 0204250-005 MW-2 Water 4112102 12 12 00 PM A B <br /> 0204250-006 MW-3 Water 4112102 12 22 00 PM A B <br /> 0204250-007 MW-4 Water 4112102 12 40 00 PM A B <br /> Comments <br /> Date/Time Date/Time <br /> Relinquished by Received by <br /> Relinquished by Received by _ <br /> Relinquished by _ Received by <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 /> Battle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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