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ARCHIVED REPORTS_XR0008149
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545641
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ARCHIVED REPORTS_XR0008149
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Last modified
5/5/2020 3:30:01 PM
Creation date
5/5/2020 2:36:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008149
RECORD_ID
PR0545641
PE
3528
FACILITY_ID
FA0002480
FACILITY_NAME
SHOP N GO 3
STREET_NUMBER
4511
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11023011
CURRENT_STATUS
02
SITE_LOCATION
4511 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
LSauers
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EHD - Public
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Mccamp ell Analytical I1nc. ⢠<br /> p y Page tot i <br /> -ā !10 Second Avenue South,#D7 CHAIN-OF-CUSTODY RECORD <br /> 4 1 Pacheco,CA 94553 5560 <br /> (925)798-1620 WorkOrder 0304252 <br /> Client <br /> Advanced GeoEnvironmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProtectNo Pacific Mini Mart-April 2003 Date Received 4/16103 <br /> PO Date Printed 4116103 <br /> _ __ Requested Tests _ <br /> Sample ID ClienfSamplD Matrix Collection Date Hold SM4500H+B 5W80i5C 8021Sl8015 SW82608 u <br /> I <br /> 10304252-001 i Effleunt Water 4115103 8 15 00 AM D B ' A C <br /> 0304252-002 1 Influent Water 4115/03 8 30 00 AM_jā [ B A C <br /> Prepared by Maria Venegas <br /> Comments <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 />
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