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ARCHIVED REPORTS XR0006981
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 XR0006981
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Entry Properties
Last modified
7/9/2019 2:57:11 PM
Creation date
7/9/2019 2:21:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006981
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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Billing Infas CHAIN-OF-CUSTgY RECORD 40, Page -. - <br /> CA 10(l . <br /> Alpha Analytical, Inc. WorkOrder : STR04121549 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL (775)355-1044 FAX (775)355-0406 Report Due By : 5 00 PM On - 23-Dec-04 <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 Email <br /> Cameron Park CA 95682-8861 Sampled by C Hill <br /> Report Attention Steve Carter Job 2001-0103fTeichert Cooler Temp 4°C 15-Dec-44 <br /> CC Report PO Client's COC# 05581 <br /> QC Level S3 = Final Rpt MBLK LCS MSIMSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles TPHIP w voc w <br /> Sample ID Sample ID Matrix Date 0 G SUB TAT PWS# Sample Remarks <br /> STR04121549-01A MW-13 AQ 12/14/04 Illi 0 6 BTxercns_ BTxFacns_ <br /> 1036 011oxysl1 2 05oxys<i 2D <br /> DCAIEDB CAlEDB <br /> STR04121549-02A, MW-14 AQ 12/14/04 5 0 ; 6 ° BTxE/GAs_BTxFJGAs - —�---- -- <br /> 11 09 05oxysll2 C15axWl2D E <br /> DCA/EDB C VEDB <br /> STR04121549-03AI AS-1 AQ 12/14/04 5 0 6 sTxEIGAs_BTXEIGAs_ <br /> 1059 05oxysll 2 C15oxys11 2D <br /> DCAIEDB CAIEDB <br /> Comments Custody.seal Frozen ice Send copy of receipt checklist with final report <br /> Signature Print Name Compam Date/Time <br /> Received bya 9C ex Alpha Analytical,Inc b's j5 <br /> NOSE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be retumed to client or disposed of at client expense I <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 O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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