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ARCHIVED REPORTS_XR0004018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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_XR0004018
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Entry Properties
Last modified
3/4/2020 2:29:32 PM
Creation date
3/4/2020 2:04:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004018
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 /> 2of2 <br /> Alpha Analytical, Inc. WorkOrder : STR00060240 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> I EL (775)355-1044 FAX (775)355-0406 <br /> Client — _ -_---_ _ Report Due By : 5 00 PM On : 09-jun-00 <br /> Stratus Environmental ; Company Phone/Fax ; Secondary Phone/Fax <br /> 3330 Cameron Park Drive TEL (530)676-6001 1 I TEL (530)295-191 EDD Required No <br /> Suite 550 FAX (530)676-6005 j ffAX (530)642-1760 Sampled by Scott Biihnger <br /> Cameron Park CA 95682-8861 Job IBC-Travis Bryant#2002-1426-02 <br /> Report Attention Jay Johnson PO Client's COC# none Cooler`l emp 4°C 02-Jun-00 <br /> QC Level 1 = Final Rpt Only <br /> - — _ Requested Tests - �- <br /> Alpha Client Collection No of Bottles TPHIP7S� TPHfP_w voc_s voc_w - <br /> Sample ED Sample ID Matrix Date ORG SUB TAT PW5# Sample Remarks <br /> �I I GAS CSTR00060240-09A� B4-49-S SO 05130!00 1 0 5 [3TEXUXY! — <br /> ��- <br /> 1214 '2DCAMDB <br /> STR0006024D-10A B4-64 S SO 05130300 1 0 5 GAS CAL B P5U0XY/ I <br /> 12DCAIEDS <br /> IST 0 6008 0240-11Ai B4-98-5 W 50 051301fl0 0 5 l 15ASCAI, --Ie21)CA& l - - -!- -� <br /> II 13 35 ! �,zncAr�nn <br /> TR00060240-12A B4-116-5 SO 05/30/00 1 0 5 GAS CAL BT£x <br /> 5raxr/ <br /> 1415 I t 2DCA/ED13 <br /> Comments CA samples No security seals real ice frozen One san le not included on COC on hold until hear from Edana <br /> - - ---_ signature - Yrrnt Name I W Company Date/'Time <br /> Rehnqurshcd by <br /> Received by <br /> Relinquished by � <br /> Received by - - - - ---- - - --� - - -- - _ <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 appllcabie 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 /> Matrix Type AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Dnnking Water) OT(Other) Battle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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