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ARCHIVED REPORTS_XR0012844
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_XR0012844
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Entry Properties
Last modified
3/4/2020 2:27:27 PM
Creation date
3/4/2020 2:16:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012844
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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Page <br /> Billing Information CHAIN-OF-CUSTODY RECORD <br /> Alpha Analytical, Inc. Workorder : STR99101265 <br /> F255Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 ty <br /> TEL (775)355-1044 FAX (775)355-0406 <br /> Chent Report Due By : 5:00 PM Ou : 18-00-99 <br /> Stratus Environmental Company PhonelFax Secondary Phone/Fax <br /> 3164 Gold Camp Drive (530)295-1992 TEL (530)295-1992 <br /> Suite 200 FAX (530)642-1760 FAX (530)642-1760 Sampled by Hal Hansen <br /> Rancho Cordova,CA 95667- Job 2002-1423-8 <br /> Report Attention Gary Johnson PO Client's COC# none Cooler Temp 4°C 12-Oct-99 <br /> QC Level 1 = final Rpt Only � <br /> Requested Tasts <br /> Alpha Client Collection No of Bottles TPwE w TPw►P w voc_w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# <br /> Sample Remarks <br /> TPNlE IB.QAV5 Br FIGAS/S <br /> }STR99101265-01A MW-1 AQ 10!11199 6 0 4 it oxys OXY3 <br /> 12 59 <br /> Tp'l' IBTxFlGA515IBTXFIGASlS <br /> STR99101265-02A MW-2 AQ 10111!99 6 0 4 oxYs oxvs I 1 <br /> 12 45 <br /> Comments CA detection Ice frozen Samples in good condition <br /> Signature Puntl�ame _ Company llatelI[me <br /> Reimquished by — — <br /> Received b — <br /> I <br /> Relinquished by <br /> Received by - <br /> `J <br /> de Hazardous samples will be returned to client or disposed of at client expense <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are ma <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(Air) SO(Sod) WS(Waste) DW(Dnn%ing Water) OT(Other) Bottle Type L-Liter V-Voa S-Sail Jar O-Orbo T-Tedlar B Brass P-Plastic OT-Other <br />
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