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ARCHIVED REPORTS_XR0007353
EnvironmentalHealth
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15406
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3500 - Local Oversight Program
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PR0545741
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ARCHIVED REPORTS_XR0007353
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Entry Properties
Last modified
6/8/2020 12:50:50 PM
Creation date
6/8/2020 12:36:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007353
RECORD_ID
PR0545741
PE
3528
FACILITY_ID
FA0006284
FACILITY_NAME
YAMADA BROS INC
STREET_NUMBER
15406
Direction
S
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
18917007
CURRENT_STATUS
02
SITE_LOCATION
15406 S TRACY BLVD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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LSauers
Tags
EHD - Public
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McCamp ell Analytical Inc. CHAIN-OF-CUSTODY RECORD Page I of I <br /> I 10 Second Avenue South,#D7 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder. 0206275 <br /> Client <br /> Advanced GeoE nvi ron mental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton,CA 95215 ProlectNo Yomada Bros <br /> PC 18-.tun-02 <br /> ^ _ Requested Tests <br /> �..rAY4 — .—� a <br /> Sample ID ChentSamplD Matrix Collection Date Bottle �S—W80IC 80216/8015 SW8260B <br /> 10206275-001 DW-11061702 --- Water --6/-1-7/-0- 11 57 00 AM -- B- - ----A- -- - C <br /> 0206275-002 MW1/061702 Water 6117102 2 12 00 PM B A C <br /> 0206275-003 MW21061702 Water 6117102 138 OD PM B � A C -- - � --� <br /> 0206275-004 MW31061702 Water 6/17/02 12 59 00 PM B A C <br /> 1 <br /> Comments: GID#7060770643 <br /> �DatelTime — -- --- - - -�Date1T'ime -� <br /> i <br /> Relinquished by. Received by. <br /> Relinquished by: _ _ Received by: _ - <br /> Relinquished by: Received by: <br /> DOTE 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 trent expertise <br /> Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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