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ARCHIVED REPORTS XR0000666
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CAPITOL
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6421
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2900 - Site Mitigation Program
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PR0522496
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ARCHIVED REPORTS XR0000666
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Entry Properties
Last modified
2/15/2019 7:24:34 PM
Creation date
2/15/2019 3:17:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000666
RECORD_ID
PR0522496
PE
2957
FACILITY_ID
FA0015317
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95245
APN
05532024
CURRENT_STATUS
02
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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1885 N KELLY ROAD • NAPA,CA 94558 • (707) 258-4000 Fax (707) 226.1001 • www caltestlab comTIEN <br /> Caltest <br /> SAMPLE CHAIN PAGE -� OF <br /> ANALYTICAL LABORATORY <br /> OF CUSTODY PROJECT#/PROJECT NAME PO # <br /> CLIENT rF REPORTTO ANALYSES REQUESTED <br /> '"i 'J fJuy __ Ci � 1 y[a .. 1 r (.:moi,"�'• y,'i-1d 9 I 1 i�/ :� r, 't+=�e. + 3 <br /> ADDRESS CITY STATE ZIP TURN-AROUND <br /> si <br /> LIME <br /> BILLING ADDRESS ❑ STANDARD; I <br /> �t <br /> RUSH <br /> PHONE# FAX PHONE SAMPLER(PRINT&SIGN NAME) DUE DATE <br /> t I <br /> r <br /> COMP <br /> CALTEST DATE TIME CONTAINER CLIENT or <br /> E # SAMPLED SAMPLED MATRIX AMOUNT/FYPE PRESERVATIVE SAMPLE IDENTIFICATION SITE LAB# GRAS REMARKS <br /> � r <br /> i <br /> , C { <br /> S.- 1 <br /> e 1 ii <br /> I <br /> q° r <br /> I II <br /> I <br /> y�r <br /> U <br /> { r <br /> f <br /> <�lb <br /> f <br /> _ 4 , <br /> By gUbmlttal of sample(s), client agrees to abide by the Terms and Conditions set forth on the reverse oflthls document <br /> f 91-INQ ISHED BY DATEITIME RECEIVED BY IRELINQU HED BY DATE/TIME RECEIVED BY <br /> J�jf}{ • f a i pp {j4rr a r y2,, k�Y-� ��• p <br /> 't t'ti rl f t i J%- � r 4 <br /> fr <br /> R <br /> Samples WC` ``.fiAl�f "Y ,. ti610�=�� . V " Yt]A p�}$�fJlV4 TEMP EAI_i -x'f-11�1i1 <br /> MATRIX AQ=Aqueous Nandrinking Water,Digested Metals <br /> ©IAMENT-��F ,�, r"*` - - � -' <br /> s,a - t. tea.-._ = �z r;�,z"�.y"�� �, "xF�-.:� FE=Low R L s Aqueous Nondnnking Water Digested Metals <br /> DW=Drinking Water, S1_=5011,Sludge,Solid,FP=FrB9 Product <br /> CONTAINER TYPES AL=Amber Liter AHL=500 ml <br /> r SIL SQA" �?" _- _``'s" S_ - - t a�; Amber,PT=Pint(Plastic),QT=Quart(Plastic),HG=Half Gal <br /> f .=� <br /> ' W1NNb3 H2SO4 NaOk - J ,» r ton(Plastic),SJ=Sod Jar,B4=4 oz CT BT=Brass Tube, <br /> 4Mk "'` - =i? VOA=40 mL VOA,OTC=other Ty tainer <br /> PIL`HN6, H,SO4 s. -NaCA <br /> j - - `' - A"�p •=PR �: 'riidlp..I _ t F,�..... ; <br />
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