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ARCHIVED REPORTS_XR0004013
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0527611
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ARCHIVED REPORTS_XR0004013
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Entry Properties
Last modified
3/4/2020 2:21:06 PM
Creation date
3/4/2020 1:48:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004013
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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Billing Information CHAIN-OF-CUSTODY RECORD Page <br /> 1of1 <br /> Alpha Analytical, Inc. WorkOrder : STR02082325 <br /> f <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 : 03-Sep-02 <br /> Stratus Environmental Ja Johnson - <br /> 3330 Cameron Park Drive TEL (530)676-6000 EDD Required Yes <br /> Suite 550 FAX (530)676-6005 <br /> Cameron Park,CA 95662-8861 Job 2002-1426-071 IBC Sampled by C Hill <br /> Report Attention Jay Johnson PO Client's COC# none Cooler Temp 40C 23-Att 02 <br /> CC Report - -- g- <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# - -v T L - -I Sample Remarks <br /> STR02082325-01A MW-1 i AQ 0$122102 5 0 6 i- BTXEfGAsr BTXFJGASI - -� - -- <br /> 1041 v ��� ioxYs Soxys <br /> STRD2D$2325-02A MW-2 '- AQ 08!22102 5 0 6 BTXUGAS/ 13TMGAS� - - -- - - _T_ ----- <br /> 10 46 suxys I soxys <br /> Comments Security seals intact.-ice frozen Califomia samples EDF required,Global ID 4T0607700204 Send copy of receipt checklist with final report <br /> g ature Prmame t N --I Company Dateffiine <br /> ---- ------ -- - — - - - r — ----� <br /> Received 6y - - -- — 4 ��--- �'fn 1 J� Alpha Analytical,Inc <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 /> Matnx Type AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Dnnking Water) OT(Olher) Bottle Type L-Liter V-Voa S-Soil Jar O Orbo T-Tedlar B-Brass P-PIas OT-Other <br />
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