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ARCHIVED REPORTS XR0006976
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 XR0006976
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Entry Properties
Last modified
7/9/2019 3:36:54 PM
Creation date
7/9/2019 2:18:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006976
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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Tags
EHD - Public
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I I♦ Ii � � I♦ � � � 1� i i i i i i i i i i <br /> Billing I40ation CHAIN-OF-CUSODY RECORD CA Pao of3 <br /> Alpha Analytical, Inc. WorkOrder : STR06013151 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> Client TEL (775)355-1044 FAX (775)355-0406 Report Due By : 5:00 PM On : 0$-Feb-06 <br /> St v arter <br /> Stratus Environmental <br /> TEL (530)676-6008 x <br /> 3330 Cameron Park DriveTEL <br /> (530)676-6005 EDD Required Yes <br /> Suite 550 EMail starter@stratusim net <br /> Cameron Park,CA 95682-8861 Sampled by Justin Crose <br /> Report Attention Steve Carter Job Teichert Cool r Temp Samples Received Date Ennted <br /> CC Report PO Client's COC# 06438/7745 4 OC 31 titan-06 <br /> 31-Jan-0G <br /> QC Level S3 = Final Rpt,MBLK,LCS MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles TPttm_w voc_w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> STR06013151-09A CPT-8-62W AQ 01/27/06 5 0 6 GAS-C I STEWXY! <br /> 0750 1,2 <br /> DCa/EDB c <br /> STRO6013151-10A CPT-8-72W AQ 01/27/06 5 0 6 GAS C ffrmoxY/ <br /> 0845 12 <br /> DMEDE C <br /> STRO6013151-11A CPT-8-81W AQ 01/27/06 4 0 fi cast a MOXY/ <br /> 0940 1,2 <br /> DCA/EDB_C <br /> STR06013151-12A CPT-1-72W I AQ 1 01/27/06 5 0 6 cas c aTEVOXYr <br /> 1055 12 <br /> DCA/EDe C <br /> STRO6013151-13A CPT-1-93W I AQ 1 01/27/06 5 1 n'rmoxY/ <br /> 1230 12 <br /> DCA/EDH_C <br /> STR06013151-14A CPT-1-111W I AQ 1 01/27/06 5 0 6 GAS-C eTEx/oxYr <br /> 1325 1 12 <br /> DCA/EDe C <br /> STRO6013151-15A CPT-1-121W AQ 01/27/06 5 0 6 GAsc TTEXIOXY/ <br /> 1430 12 <br /> DCA/EDE_C <br /> STR06013151-16A CPT-5-71W I AO I 01/28/06 1 5 1 0 6 GAS eTEXfoxyi <br /> 0924 1,2 <br /> DCA/EDa c <br /> l <br /> Comments Security seals intact Frozen ice,Per Tara's conversation with Steve on 1131106 use him as the Mlect manager,Send copy of receipt checklist with final report <br /> Signature Print Name Company Date/Time <br /> x <br /> Logged In b Alpha Analytical,Inc <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 COC The liability of the laboratory is limited to the amount paid for the report <br /> Matrix Type AO(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Dnnking Water) OT(Other) Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P Plastic OT-Other <br />
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