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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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Caltest 1885 N KELLY ROAD • NAPA,CA 94558 + (707) 258-4000 C Fax (707) 226-1001 + www caltestlab com <br /> SAMPLE CHAIN PAGE_ OF <br /> ANALYTICAL LABORATORY <br /> OF CUSTODY PROJECT#1 PROJECT NAME PO # <br /> CLIENT - r r" ( ! REPORT TO ANA'L'YSES REQUESTED <br /> s S <br /> A -� , � � r, fir ' �` c 11c,t -t�ai++vr „srt �,'�u`( <br /> ADDRESS CITY STATE ZIP TURN-AROUND <br /> a TIME <br /> ' ❑ <br /> BILLING ADDRESS STANDARD <br /> ❑ RUSH <br /> PHONE# FAX PHONE SAMPLER(PRINT SIGN NAME) DUE DATE <br /> COMP <br /> CALTEST DATE TIME CONTAINER CLIENT or <br /> # SAMPLED SAMPLED MATRIX AMOUNT/TYPE PRESERVATIVE SAMPLE IDENTIFICATION SITE LAB# GRAB REMARKS <br /> 11 IF )F <br /> r' r' <br /> c c y <br /> F { <br /> v, l v� <br /> is <br /> By submittal of sample(s), client agrees to abide by the Terms and Conditions set forth on the reverse of this docu ent <br /> REtINQUISHED BY DATEITIME RECEIVED BY IRELINQUISHED BY DATElTI RECEIVED BY <br /> r <br /> ?. Sanlpl9s WC It A IC r:t.BIO i w ., V TM”Vk3�4»�'_ p}'!?'�Yjtq, 'TWP^° IKFIk�'` � k <br /> .s "r _ ,i _ -, ,,,„ as,�� T { r _ x MATRIX AQ=Aqueous Nondrinking Water,Digested Metals <br /> tlb vel0� WC+i ! q :G �. z�a;;�� ��MRMEIy St t-;g=;"'„ _ y ; rW$�a�z " w.��N;t�{ d �` -- Att FE=Low R L s Aqueous Nondrinking Water,Digested Metals <br /> t'i; `s�°r ' � a f� uf`sa �i�z »: [=x r�, , s, r ���. DW=Drinking Water, 5L=Sod,Sludge,Solid,FP=Free Product <br /> CC'AAr SVr!<F� a:S/OA „ ,r.:4ti. ,M Y 3' .i w `tw cvw ` 9 9 <br /> , _, CONTAINER TYPES AL=Amber Liter,AHL=500 ml <br /> =r� $IL HP '' PF.,- :��__f]T' yh� VOA ..:�E � _ `w rp r - '- 3 r - _ Amber,PT=Pmt(Piastre) OT=Quart(Plastic) HG=Half Gal <br /> Si WMN03 j 12g(j4J`s "Nd Ofi �s to (PISSisC} SJ=Sod Jar,B4=4 oz T,BT=Brass Tube, <br /> r c '"s"''*' t ' w�'•" VOA=40 mL VOA,OTC=Other T, tanner <br /> PIL Oa `H SO4 NaOH �H _ _ _ a r �� <br />
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