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ARCHIVED REPORTS_XR0005065
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545571
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ARCHIVED REPORTS_XR0005065
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Entry Properties
Last modified
9/16/2020 1:24:01 AM
Creation date
3/18/2020 3:10:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005065
RECORD_ID
PR0545571
PE
3528
FACILITY_ID
FA0003570
FACILITY_NAME
BOBS MUFFLER & RADIATOR
STREET_NUMBER
466
STREET_NAME
MOFFAT
STREET_TYPE
BLVD
City
MANTECA
Zip
95336
APN
22104019
CURRENT_STATUS
02
SITE_LOCATION
466 MOFFAT BLVD
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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i Page 1 t <br /> f, A4cCarnV Analytical Inc. CHAIN-OF-CUSTODY RECORD <br /> I 10 Second Avenue South,#D7 <br /> Pacheco,CA 94553-5560 <br /> (925}798-1620 Workorder: 0203011 *• <br /> client. <br /> Advanced Geo Environmental <br /> TEL' <br /> 837 Shaw Road FAX: <br /> Stockton,CA 95215 ProjectNo: Bobs Muffler <br /> PO: 06-Mar-02 ; <br /> • Requested Tests <br /> sample ID ClientSarnplD Matrix Collection Rate Bottle B021B18015 SW82609 <br /> 0203011-001 MW1/022$02 Wafer 2/28/02 :00 PM A 8— --- — <br /> 0203011-002 MW21022802 Water 2128102 3:40:00 PM A B <br /> 0203011-003 MW31022802 Wafer 2128102 4:47:OQ PM — A B ' <br /> 0203011-004 MW41022802 Water 2128!024:28:00 PM <br /> A B <br /> 0203011-005 MW5/022802 Water 2128102 4:37:00 PM A B <br /> 0203011-006 jMW7/022802 <br /> 61022602 Water 2128!02 1:49:00 PM A <br /> 8 *� <br /> 0203011-007 Water 2!281021:41:00 PM A B <br /> 0203011-008 81022802 Water 2128102 3:46:00 PMAB <br /> 0203011-009 91022802 Water 2128102 3:10:00 PM A B ,. <br /> 0203011-010 MW101D22802 Water 21281022:18:00 PM A _ B _ _-__ — —_�-- _ -- — — --- <br /> j <br /> Comments: <br /> -_--��- — Date/Time — --- — _ Date/Time <br /> Relinquished by: __ —f�__—_ _ -- ___—. Received by: -- <br /> Relinquished by: _ Received by: <br /> v <br /> Relinquished by: _ _ Receiver!by: <br /> NOTICE: Solid samples are discarded after 60 days and Non-Solid samples are discarded after 30 days unless other <br /> Iarrangements are made. Hazardous samples will be returned to client or disposed of at client expense. <br /> Bottle Type: L-Liter V Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Piastic OT-Other <br /> t <br /> i <br />� i <br />
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