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ARCHIVED REPORTS_XR0012038
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WILSON
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101
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2900 - Site Mitigation Program
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PR0541653
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ARCHIVED REPORTS_XR0012038
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Entry Properties
Last modified
10/10/2020 11:05:20 PM
Creation date
7/9/2020 8:33:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012038
RECORD_ID
PR0541653
PE
2965
FACILITY_ID
FA0023871
FACILITY_NAME
TOP FILLING STATION
STREET_NUMBER
101
Direction
S
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
15125307
CURRENT_STATUS
01
SITE_LOCATION
101 S WILSON WAY
P_LOCATION
01
QC Status
Approved
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LSauers
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EHD - Public
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i i i i i i ■i■ � � � � �! !ice awe � � <br /> McCam resell Analytical Inc. <br /> 116 Second Avenue South,#D7 CHAIN-OF-CUSTODY RECORD Page I of I <br /> Pacbeco,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0203139 <br /> F <br /> Client <br /> Advanced Geo Environmental TEL <br /> 837 Shaw Road FAX <br /> Stockton,CA 95215 ProtectNo Top Filling <br /> PO 08-Mar-02 <br /> Requested Tests - <br /> Sample ID ClientSamplD Matrix Collection Date Bottle SW8260B <br /> i -- <br /> 0203139-001 MW1/030602 Water 3/6102 — A — -__ - --- -- <br /> 0203139-002 MW21030602 Water 316102 A <br /> 0203139-003 MW31030602 Water 3/6!02 - A <br /> 0203139-004 MW41030602 Water 316102 _ A <br /> 0203139-005 MW5/030602 m Water 316102 A <br /> 0203139-006 - MW6A1030602 Water__ 316102 A <br /> 0203139-007 x MW6B1030602- Water_ 316102 A <br /> 0203139-008 MW6C/030602 Water 316102 A <br /> 0203139-009 _ MW6D1030602 Water 316102- A <br /> 0203139-010 M MW6E1030602 Water 316/02 A <br /> 0203139-011 MW7A1030602 Water 316102 A <br /> 0203139-012 MW7B1030602 Water _ 316102 A <br /> 0203139-013 MW7C1030602 Water — 316102 A <br /> 0203139-014 MW7DI030602 Water 316102 A <br /> 0203139-0i5 ~E1030602 Water 3/6102 A <br /> 0203139-016 VW i B1030602 y Water 316102 A <br /> Comments <br /> - --- — -- - — - - - - — Date/Time --- - — ---- T —vDate/Time --� <br /> Relinquished by: _ _ Received by <br /> Relinquished by � — _ Received by <br /> Relinquished by. Received by: <br /> NOTE SaMples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples wilt be returned to client or disposed of at client expense <br /> Bottle Type L-Liter V-Voa S-Soil Jar 0-Orbo T-Tediar B-Brass P-Plastic OT-Other <br />
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