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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
Scanner
LSauers
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EHD - Public
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Mccamoell Analytical Inc. Pae I of I <br /> 110 Second Avenue South,#D7 AIN-OF-CUSTODY RECORD g <br /> Pachefo,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0308207 <br /> Chent <br /> Advanced GeoEnvlronmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton,CA 95215 ProlectNo Pacific Mini Mart Date Received 8114103 <br /> PO Date Pnnted 8114103 <br /> _ Requested Tests <br /> Sample ID CllentSamplD Matrix Collection Date Hold SM4500H+B I SW8015C 80218!8015 SW8280B <br /> 0308207-001 Influent Waler 8113!03 10 15 00 AM ❑ F B A C <br /> 0308207-002 Effluent Water 1 8113/03 10 30 00 AM ❑ D 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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