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ARCHIVED REPORTS_XR0004014
EnvironmentalHealth
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LINCOLN
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2900 - Site Mitigation Program
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PR0527611
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ARCHIVED REPORTS_XR0004014
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Entry Properties
Last modified
3/4/2020 2:53:58 PM
Creation date
3/4/2020 2:02:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004014
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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• 0 - r <br /> Bdhng Information <br /> CHAIN-Or-CUSTODI( RECORD Page <br /> Alpha Analytical, Inc. WorkOrder : STR02050620 " <br /> 255 Glendale Avenue Surte 2l Sparks,Nevada 89431-5778 <br /> TEL (775)355-1044 FAX (775)355-0406 Report Due By . 5 00 PM On : 14-May-02 <br /> Client - ---------- - -- - - —- <br /> Stratus Environmental Jay Johnson <br /> 3330 Cameron Park Drive TEL (530)676-6000 EDD Required Yes <br /> Suite 550 FAX (530)676-6005 <br /> Cameron Park CA 95682-8861 Job 2002-1426-071 IBC Sampled by C Mill <br /> Report Attention Jay Johnson PO Client's COC# none Cooler Temp 49C 06-May-02 <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 TWI --I <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> 'STRO2050620-01A iVIW-1 __- AQ 05/03/02 5--.-F6--- 6 F BTXEJGASI BTxFIGASI <br /> 1044 <br /> Soxys Soxys <br /> STR0205062002A MW-2 AQ 105/03/02 5 0 6 T BTXFIGABTT—X As/' - — -( - - ' ' --- — -- -- - <br /> 11 04 _ 5/' 50xys j soxys <br /> Comments <br /> bccurjty seals intact ice frozen California samples EDF required Global ID=T0607700204 Send copy of recei i checklist with final report <br /> I _ _ <br /> - Signatu a -- ! �`— Print Name - Company - I DatelTime <br /> tteLeived by d�� - '- �Sljj( l[ +C( � 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 al client expense <br /> The report for the analysis of the above samples is applicable only to arose 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) OW(Dnnkmg 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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