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ARCHIVED REPORTS_XR0008295
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545674
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ARCHIVED REPORTS_XR0008295
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Entry Properties
Last modified
5/20/2020 10:11:16 AM
Creation date
5/20/2020 9:57:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008295
RECORD_ID
PR0545674
PE
3528
FACILITY_ID
FA0006039
FACILITY_NAME
MARK NEWFIELD
STREET_NUMBER
107
Direction
N
STREET_NAME
SCHOOL
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
107 N SCHOOL ST
P_DISTRICT
004
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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ell Analytical Inc, _ _ RO Sage s of <br /> McCamp y CHAtN OF CUSTODY RECO <br /> 110 Second Avenue South,#D7 <br /> Pacheco,CA 94553-5560 <br /> WorkOrder 4249451 <br /> (925)798-1620 <br /> Client <br /> Advanced Geo Environmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton,CA 95215 ProlectNo Lodi Theatre <br /> 27-Sep-02 <br /> PO <br /> E –� �Re�ques't`ed Tests <br /> Sample ID ClientSamplD Matrix Collection Date Hold -80211318015 <br /> 0209451-001 �~�NFLIJENT Air — 9126102 110500 <br /> 0209451-OD2 EFFLUENT-- Air 9!26102 11 D3 00 AM ❑ _ — <br /> _ 02 -- <br /> I <br /> Comments -- <br /> _--_ Date/Time <br /> - - Date1Tmle — <br /> � <br /> Relinquished by Received by <br /> _____�___� _- -- - <br /> Relinquished by _ _ _- ------ ---- -- ---- Received by- <br /> Relinquished <br /> yRelinquished by: _ _____ Received by -- <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 /> Bottle Type L-Luer V-Voa S-Soil Jar a-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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