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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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Entry Properties
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
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LSauers
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EHD - Public
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i � � � � �)♦ � � � l� � � � i' 1♦ � � Ittttttttttt� tllllllllll� (� � <br /> McCam^ Analytical Inc. <br /> 10 Second Avenue South,4D7 <br /> AIN-OF-CUSTODY RECORD Page 1 of 1 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0307414 <br /> Client. <br /> Advanced GeoEnvironmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Pacific Mini Mart(ARCO) Dante Receiver! 7124103 <br /> PO Dante Printed 7/24/03 <br /> Requested Tests <br /> Sample ID Client5amplD Matrix Collection Date Hold SW8015C 8021818015 SW8260B <br /> 0307494-001 INFLUENT Water _7123103_1_20_00 PM ❑ A A B <br /> 0307414-002 EFFLUENT Water 1 7/23103 1 15 00 PM ❑ A A B <br /> I <br /> Prepared by Michelle Miller <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 /> � 1 <br />
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