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ARCHIVED REPORTS_XR0006652 CASE 1
EnvironmentalHealth
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ARCHIVED REPORTS_XR0006652 CASE 1
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Last modified
7/23/2020 3:26:56 PM
Creation date
7/23/2020 3:20:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006652 CASE 1
RECORD_ID
PR0500097
PE
2950
FACILITY_ID
FA0001329
FACILITY_NAME
PONTES QUICKI KLEEN CAR WASH
STREET_NUMBER
707
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22323013
CURRENT_STATUS
01
SITE_LOCATION
707 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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LSauers
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EHD - Public
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McCampbell Analytical Inc. CHAIN-OF-CUSTODY RECORD Page 1 of , <br /> 1 10 Second Avenue South #D7 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder. 0211138 <br /> Client <br /> Advanced GeoEnvlronmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProfectNo qu,cki-Kleen Car <br /> PO 08-Nov-02 } <br /> Requested_Tests <br /> Sample ID ChentSamp[D Matrix Collection Date Hold FSW80156 <br /> - L8021BIB015 SW8260B <br /> 0211138-001 _ - --MW1111-07-02 Water 1117102 11 5100 AM —❑ -B A-- C — - - -- - - - -- <br /> 0211138-002 MW2111-07-02 _ Water 1117/02 12 54 00 PM ❑ B A C <br /> 0211138-003 MW311i-07 02 Water 1117102 11 07 OO AM (] B A C <br /> Comments <br /> Date/Time -�--- - - - - Date/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 will be returned to client or disposed of at client expense <br /> Bottle Type L-Liter V-Voa S-Soil.far O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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