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ARCHIVED REPORTS_XR0004024
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_XR0004024
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Entry Properties
Last modified
3/4/2020 3:08:04 PM
Creation date
3/4/2020 2:06:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004024
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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• <br /> Billing information CHAIN-OF-CUSTODY RECORD <br /> 1 n Page <br /> �f 1ofI <br /> Alpha Analytical, Inc. <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 WOirkOt'dCr : STR01051893 <br /> Client TEL (775)355-1044 FAX (775)355-0406 <br /> Stratus Environmental Com an PhonelFax _ —� - - i Report Due By • 5.00 YM 011: : 29-May-01 <br /> p y J Secondary PhonelFax <br /> 3330 Cameron Paris Drive TEL (530)676-6009 TEL {530}676-6000 <br /> Suite 550 FAX 530 676-6005 EDD Required No <br /> ( ) _ __ FAX (530)67fi-6D05 I <br /> Cameron Park,CA 95682-8861 Job 2002-1426-0 - — - Sampled by Client <br /> Report Attention Jay Johnson PO <br /> Client's COC# none Cooler Temp °C 18-May-01 <br /> CC Report <br /> QC Level 83 = Final Rpt,MBLK, LCS, MSIMSD With Surrogates <br /> Alpha --- -- Requested Tests <br /> -- <br /> P Client Collection No of Bottles TPWP_W voc w ---- Re - -- -- t -- -- - - <br /> Sample!D Sample ID Matrix Date ORG SUB TAT PWS# � <br /> 1sT MW 1- - lAQ 051 - ° - i - --- - �_ - --- -_ -= _ ��_- T-- Sample Remarks <br /> I 17101 � 5 0 16 ttTx�oasr erxP�OAs/s - `----� <br /> _ I 'I 1 D7 5 Oxys Oxys <br /> [STR01051893-02A MW 2 --- - AQ 05/17/01 5 - <br /> - - -111 30 i 0 e I! a soy,sr rtrxo y$s�sJ -- - <br /> Cotnrncats CA sant les (cal ice frozen security seals intact <br /> i Signature - I _ <br /> - - - a�kV <br /> I'nutfVarne Cont anIteet,iveti by .. - --___-- ---- v --�- - z___--- �- Y Date/Time <br /> i/V_t [ �[g - Alpha Analytical,luc �7 r <br /> - --- - --------- 3o <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 /> Matrix Type AQ(Aqueous) AR(Atr) S0(3011) WS(Waste) DW(Dnnking 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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