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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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EHD - Public
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� �! � � !� i_ � w■t arm �� w� ter= a>!1� �� <br /> Billing anon CHAIN—OF—CU*DDY RECORD CA Pao 1 of 1 <br /> Alpha Analytical, Inc. I Work4rder : STR06013122 <br /> 255 Glendale Avenue Suite 21 Sparks Nevada 89431-5778 <br /> TEL (775)355-1044 FAX (775)355-0406 <br /> Client Report y ; <br /> , _ ---- p rt Due B 5:00 PM On : 08-Feb-06 <br /> Scott Brtfinger <br /> Stratus Environmental i TEL (530)676-6009 x <br /> 3330 Cameron Park Drivei FAX (530)676-6005 { EDD Required Yes <br /> Suite 550 EMad sbitlinger@Stratusnc net <br /> Cameron Park CA 95682-8861 ---- _ I Sampled by Scott B <br /> Report Attention Scott Bittinger Job 2001-0103-11 Teichert Property Cooler Temp Samples Received Date Printed <br /> CC Report Po <br /> Client's COC# 09509 4 OC 31-Jan 06 <br /> 31-.Tan-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 ! voC_WI —��---- - <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# <br /> L-1 __—I f I Sample Remarks <br /> —L—� <br /> STR06013122-01A CPT 2-73 AQ 1 01/25/06 1 5 0 6 I ca c ;araxoxr <br /> 1225 EDe�i 2 <br /> DCA C <br /> STR06013122-02A+ CPT 2-83 AQ i 01/25/06 1 5 0 6 ; GAS C I BTExroxY/ <br /> 13 05 1 1 I Friwl 2 1 1 <br /> _ _ DCA C <br /> STR06013122-03A1 CPT 2-95 AQ 01/25/06 I 5 4 6 GAS c BTEwoxYr 1 T— -�- --1----- ----— <br /> 1340 EDB/1 2 <br /> DCA C I <br /> 'STR06013122-04AI CPT 2-112 AQ 01/25/06 5 0 6 GAS CBTExtoxrl I 1 <br /> 1425 I I EDBV1 2 <br /> DCA C <br /> I`STRO6013122-05AI CPT 2-126 ' AQ 01/25/06 I 5 0 1 6 GAS C ,BTewoxYr'� <br /> 1540 EDBri 2 <br /> DCA C I <br /> STR06013122-06A1 CPT 6-68 AQ 01/29/06 5 0 6 I GAS-C ,BTExoxY, <br /> 0820 I I I EDWI 2 <br /> --- --- — <br /> DCA-C <br /> Comments SecurAy seals intact Frozen ice <br /> Signature - - Print tame DatelTtme 1 <br /> Logged in by ::::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 AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Dnnking Water) OT(Other) Bottle Type L-Lifer V-Voa S-Sod Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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