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ARCHIVED REPORTS XR0006980
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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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 XR0006980
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Entry Properties
Last modified
7/9/2019 3:16:23 PM
Creation date
7/9/2019 2:20:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006980
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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SJGOV\wng
Tags
EHD - Public
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n <br /> Billing Information CHAIN-OF-CUSTODY RECORD CA 1 of Page <br /> rm <br /> Alpha Analytical, Inc. WorkOrder : STR05031601 <br /> 255 Glendale Avenue,Suite 21 Sparks Nevada 8943 1-5 778 <br /> TEL (775)355 1044 FAX (775)355 0406 Report Due By . 5.00 PM On . 24-Mar-05 <br /> Client Steve Carter <br /> Stratus Environmental TEL (530)676-6008 <br /> 3330 Cameron Park Drive FAX (530)676-6005 EDD Required Yes PDF Required No <br /> Suite 550 EMad scarier@stratusinc net Sampled by C Hill <br /> Cameron Park,CA 95682-8861 <br /> Report Attention Steve Carter Job 2001-0103rreichert Cooler Temp 4°C 16-Mar-05 <br /> CC Report PO Chent's COC# 05426 <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 W <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br />" 5TR05031601-01A MW 13 AQ 03/15/05 5 0 fi BTXE/Gns_ B-15 JAS <br /> 09 29 CfCAIE i 2D GCAIE i 2D <br /> CAlEDB CAIEDB <br /> STR05031601-02A MW-14 AQ 03/15/05 5 0 6 BTXEIGAS_ BTXFIGAS_ <br /> D9 24 CrSoxys/1 2D Crsoxysri 2D <br /> CAfEDB MEDB <br /> STR05031601-03A AS-1 AQ 03/15/05 1 5 0 6 BTXE/GAS_ BTXE GAS_ <br /> 09 36 a5oxysrt 2D C5oxycri 2D <br /> CAfEDB CAfEDB <br /> I <br /> I <br /> Comments Security seals intact-frozen ice Send copy of receipt checklist with final re rt <br /> Signature Print Name Company Date/Time <br /> � r�` Alpha Analytical,Inc 3 {bl s <br /> �D - <br /> Received 6y 4'- <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-Liter V-Voa S-Soil Jar 0-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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