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ARCHIVED REPORTS_XR0004016
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LINCOLN
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2900 - Site Mitigation Program
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PR0527611
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ARCHIVED REPORTS_XR0004016
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Entry Properties
Last modified
3/4/2020 3:17:52 PM
Creation date
3/4/2020 2:02:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004016
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 Information � Page <br /> CHAIN-OF-CUSTODY RECORD - <br /> iofi <br /> - _— Alpha Analytical, Inc. WorkOrder : STR02021565 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> Client <br /> TEL (775)355-1044 FAX (775)355-0406 Report Due By : 5.00 PM On . 22-Feb-02 <br /> --- ----- <br /> Stratus Environmental Jay Johnson <br /> 3330 Cameron Park Drive EL TEL <br /> 676-6000 EDD Required -�S CE S <br /> Suite 550 FAX (530)676-6005 <br /> Sampled by C Hill <br /> Cameron Park,CA 95682-8861 Job 2002-142601/IBC-Stockton <br /> Report Attention Jay Johnson PO Client's COC# none Cooler Tcnip 4°C 15-Feb_fl2 <br /> CC Report <br /> QC Level S3 = Final Rpt,MBLK LCS, MSlMSD With Surrogates <br /> Requested Tests �-—-------- ----- -- ------__— <br /> Alpha Client Collection No of Bottles TPWP_W voc_w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# �� -- ---- Sample Remarks <br /> STR02021565-01A MW1 AQ 1 02/14/02 5 0 5 GAS CAL eTFMXY <br /> 1057 <br /> STR02021565-02A MW2 --- AQ-�0 102-� 5� 0 5 <br /> 11 <br /> 02 <br /> I <br /> Comments Ca sample Real ice frozen Security seals intact Please include EDF <br /> Signature Print — --Company- I Datcllunc - <br /> --- -- f60 <br /> LReceived Ely Aliha Anal tical Inc <br /> NOTE Samples are discars 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 pard for the report <br /> Matrix Type AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Dnnking Water) OT(Olher) Bottle Type L-Liter V-Voa S-Sod Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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