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ARCHIVED REPORTS XR0006985
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 XR0006985
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Entry Properties
Last modified
7/9/2019 3:22:11 PM
Creation date
7/9/2019 2:22:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006985
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 Ir hon . <br /> ~ CHAIN-OF-CUSTODY RECORD CA Page <br /> 9of1 . <br /> Alpha Analytical, Inc. WorkOrder : STR03121742 <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 : 26-Dec-03 <br /> Stratus Environmental Jay Johnson <br /> 3330 Cameron Park Drive TEL (530)676-6000 <br /> Suite 550 FAX (530)676-6005 EDD Required Yes <br /> Cameron Park,CA 95682-8861 Job 2001-0103(Teichert Sampled by C Hill <br /> Report Attention Jay Johnson PO Client's COC# 3438 Cooler Temp 4 oC <br /> CC Report 17-Dec-03 <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# i / Sample remarks <br /> STR03121742-01A MW-13 AQ 12/16/03 6 0 6 I BTXOGAs BTXE/GAs <br /> 11 0O csoxysl2 05oxysll 25 <br /> --� ----iI <br /> - --- --- -- <br /> DCA/EDB CA/EDB <br /> STR03121742-02A MW-14 AQ 12/16/03 1 6 0 6 BTXElGAS BTXE GAs_ <br /> 1052 V5uxWl z C/5axyall 2D <br /> DCAIEDB CA/EDB <br /> STFZ03121742-03A AS-1 AQ 12/16/03 6 0 6 BTXE/GAS BTXEIGAs_ <br /> 1106 05oxysll 2 C/5oxys/i 20 <br /> DCMEDB CAIEDB <br /> I <br /> Comments Custody seal Frozen_ice CA samples EDF Send copy of checklist with final report <br /> Signature Print Name Company Date/Time <br /> Received by <br /> Alpha Analytical,Inc t l <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) OW(Drinking 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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