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ARCHIVED REPORTS_XR0004008
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LINCOLN
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1426
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2900 - Site Mitigation Program
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PR0527611
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ARCHIVED REPORTS_XR0004008
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Entry Properties
Last modified
3/4/2020 3:13:46 PM
Creation date
3/4/2020 1:47:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004008
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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SJGOV\sballwahn
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EHD - Public
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Billing Informs 19 0 - <br /> CHAIN-OF-CUSTODY RECORD CA Page <br /> 1 of l . . <br /> Alpha Analytical, Inc. WorkOrder : STR03081144 <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 19-Aug-03 <br /> Stratus Environmental Gown Kowtha <br /> 3330 Cameron Park Drive TEL (530)676-6002 EDD Requited 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# none Cooler Temp 4°C 11-Aug-03 <br /> CC Report <br /> QC Level S3 = Final Rpt,MBLK,LCS,MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles Ti'Hrr_w voc_w <br /> Sample ID Sample!D Matrix Date ORG SUB TAT PWS# Sample RemarksSTR03081 t44-01A� MW-1 �AQ 08/04/03 2 0 6 BTx�GAs_ BTx�cAs_ _T_ - - - -- <br /> _ l 1108 clsoxys C150xys <br /> STRO3081144-02AII MW-2 AQ 08/04/03 i 5 0 6 BTXF/GAs_ BTxr1GAS ---W�—�� <br /> _ Y <br /> 1045 i Cl5oxys C150xys <br /> STR03081144-03A MW-8 ---� — -------___ - — --- -- -- -- <br /> AQ 081I 3 0 6 BTXF/GAS_ BTXEfGAS_ <br /> 111 0O8 S <br /> 05oxys C/Soxys <br /> Comments Custody seal Frozen ice CA samples Samples received Satruda 8/9!03 sam les kept cold&secure until log in Monday 8111/03 EDI' Global ID#T0607700204 ALWAYS send copy of recei t <br /> checklist with final report Sample VOA amounts listed on COC do not match VOA's received noted on ori incl COC by Alpha Sac Sam les received a week into their hold tune <br /> Signature Print Name Comp'lnv D itclTime <br /> Received by i 32 <br /> r <br /> JC r,i Alpli i An it)tic-%I,1 nc l "'` i l_ C:. <br /> N <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 /> Ma rix Type AQ(Aqueous) AR(Air) SO(Sol!) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type L-Liter V-Voa S-Sod Jar 0 Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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