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ARCHIVED REPORTS_XR0004004
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0527611
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ARCHIVED REPORTS_XR0004004
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Entry Properties
Last modified
3/4/2020 3:17:35 PM
Creation date
3/4/2020 1:46:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004004
RECORD_ID
PR0527611
PE
2957
FACILITY_ID
FA0018709
FACILITY_NAME
FORMER DOLLY MADISON
STREET_NUMBER
1426
Direction
S
STREET_NAME
LINCOLN
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16503010
CURRENT_STATUS
01
SITE_LOCATION
1426 S LINCOLN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Btlling}nform- �Page `,• <br /> CHAIN-OF-CUST(W RECORD <br /> CA <br /> Alpha Analytical, Inc. WorkOlyder : STR04051744 <br /> 255 Glendale Avenue,Suite 21 Sparks Nevada 89431-5778 <br /> TEL (775)355-t044 FAX (775)355-0406 Report Due By 5:00 PM On • 25-May-04 <br /> Client <br /> Stratus Environmental Gown Kowtha <br /> 3330 Cameron Park Orive TEL (530)676-6002 EDD Required Yes <br /> Suite 550 FAX (530)676-6005 <br /> Cameron Park CA 95682-8861 Job IBC Stockton Sampled by Mike <br /> Report Attention Gown Kowtha PO Client's COC# 07370 Cooler Temp 4°C 17-May-04 <br /> CC Deport <br /> QC Level S3 = Final Rpt MBLK,LCS,MSIMSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles TPH1P_W voc_w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> STRD4051744-01A- MW-1 _ �AQ 05/10104 5 �0 6 Bsk (AS BTXEIGASV <br /> 11311 C/Sox,,V]z ClSc.ysn 20 <br /> Dc CA <br /> STR04051744-02A' MW-2 AQ 05140/04 , 5 0 6 I MxUGAs $TxFJCAs_ <br /> f 09 52 C5oxN01 i CraoxyO 2D <br /> DCA CA <br /> ( nnirncnts Custodv_seat Frozen ice EaF-T0607700204 Samples received 05/15/04,samples kept cold&secure until log-in 05/17/04 Send coat/of receipt checklist with final report— <br /> Signature Print Names , Company 1 Date/Time <br /> Itecci4ed b} � ►� JJ� Alpha Analytical,Inc <br /> NOTE Samples are discarded 60 days alter results are repotted 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 samptes is appticabte only to those samptes 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,far O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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