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ARCHIVED REPORTS XR0006975
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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103
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3500 - Local Oversight Program
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PR0544638
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ARCHIVED REPORTS XR0006975
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Entry Properties
Last modified
7/9/2019 3:24:16 PM
Creation date
7/9/2019 2:18:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006975
RECORD_ID
PR0544638
PE
3528
FACILITY_ID
FA0004027
FACILITY_NAME
HENDRIX FORK LIFT INC
STREET_NUMBER
103
Direction
N
STREET_NAME
E
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15318001
CURRENT_STATUS
02
SITE_LOCATION
103 N E ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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r <br /> Billing lnf tlorrCu TILT-OF-f-rUSSDY RECO" Pa9 <br /> ,� CA *of 1 _ <br /> Alpha Analytical, Inc. WorkOrder : STR06032004 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-577$ <br /> Steve Carter <br /> TEL(775)355-1044 FAX (775)355-0406 - Report Due By : 5:00 PM On : 27-Mar-06 <br /> Client <br /> Stratus Environmental TEL (530)676-6008 <br /> 3330 Cameron Park Drove FAX (530)676-6005 EDD Required Yes <br /> Suite 550 Entail scarter@stratusinc net <br /> Cameron Park,CA 95682-8861 - - --- - __---_ - m__ Sampled by C Hill <br /> Report Attention Steve Carter Job Teichert/Stockton Cooler Tem o Samples Received Date Printed <br /> CC Report PO Client's COC# 06803 4°C 1 B Mar-06 20-Mar-06 <br /> QC Level S3 = Final Rpt,MBLK,LCS,MS/MSD With Surrogates <br /> Requested Tests - - <br /> Alpha Client Collection No of Bottles TPHIP.-w V016:w - <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# �- --�- Sample Remarks <br /> STR06032004 01 AI MW 13 [AQ 03097036 5 0 -f 6 cis c �DrF <br /> STR06032004-02AI MW-14 AQ 03/17/06 15 0 6 GAS-C BTEBLCXyr i <br /> 0915 I 12= <br /> z°c D <br /> _ <br /> BC <br /> [STR06032004-03AAS 1 AQ 03/17/06 -5 70 6 cAS c <br /> I <br /> Comments Security seals intact frozen ice Saturday delivery samples kept in secured area Ca�4"c until log in Send copy of receipt checklist wish final report <br /> Sr nature [ <br /> B f - �fT -- --- -_ _ -----_I_ Pnnt Name - — - - - ` -f Company I Date/Time <br /> Logged In by: - - -- -- - S--s 4 t� C"�- - -�----- -- _ Alpha AnaiyticM,Inc 2, +fv <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 /> The report for the analysis of the above samples is applicable only to those samples received by the laboratory with this CDC The liability of the laboratory is limited to the amount paid for the report <br /> Matrix Type AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Drmking Water) OT(Other) Bottle Type L-Lder V Voa S-Sod Jar 0-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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