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ARCHIVED REPORTS_XR0004027
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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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_XR0004027
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Entry Properties
Last modified
3/4/2020 2:27:50 PM
Creation date
3/4/2020 2:07:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004027
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 /> 1 of 1 <br /> Alpha Analytical, Inc. WorkOrder : STR00090560 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> Client TEL (775)355-1044 FAX (775)355 0406 <br /> Report Due By : 5:00 PM On 12-Sep-00 <br /> Stratus Environmental Company Phone/Fax Secondary Phone/Fax <br /> 3330 Cameron Park Drive TEL (530)676-6001 TEL (530)676-6001 EDD Required No <br /> Suite 550 FAX (530)676-6005 FAX <br /> {530}676 6005 <br /> Cameron Park,CA 95682-8861 Job Sampled by Client <br /> Report Attention Gown Kowtha PO Client's COC# none Cooler Temp 13°C 05-Sep-00 <br /> QC Level S4 = Final Rpt,MBLK, LCS,MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No of Bottles TPH7wyoc-W <br /> Sample ID Sample ID Matrix Date ORO SUB TAT PWS# Sample Remarks <br /> STR00090560-01A MW-1 AQ 08/30/00 4 0 5 BTxE/cAst B1XE/GAsr5 <br /> 1406 5 oxys oxys <br /> STR00090560-02A MW-2 AQ 0813D104 4 0 5 BTXWGAsr <br /> oxys IBT7cFlGAsrs <br /> 14 20 5 oXys <br /> Comments CA sample Real ice melted No security seals present <br /> Signature Print Name Company DiteJTime <br /> Relinquished by <br /> f / r <br /> Received b f jLr <br /> y / � � ! � t !/1 �� <br /> Relinquished by <br /> Received by <br /> ]VOTE 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 3s limited to the amount paid for the report <br /> thtnx Type AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type L-Liter V-Voa S sail Jar 0-0rbo T Tedlar B-Brass P-Plastic OT-Other <br /> a <br />
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