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ARCHIVED REPORTS XR0000671
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 XR0000671
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Entry Properties
Last modified
2/15/2019 6:40:23 PM
Creation date
2/15/2019 3:24:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000671
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 a NAPA,CA 94558 a (707) 258.4000 a Fax(707) 226-1001 www caltestla cam <br /> Caltest SAMPLE CHAIN PAGE OF _ <br /> I ANA]YrrcAc LABORATORY OF CUSTODY PROJECT#/PROJECT NAME P o # <br /> CLIENT ! REPORT TO <br /> 1 �� ,1�� 4-1C - /4 ANALYSES REQUESTED <br /> ADDRESS L- f t.-f _ CITY _ STATE ZIP TURN-AROUt <br /> �; C TIME <br /> BILLING ADDRESS STANDARD <br /> ❑ RUSH <br /> PHONE# FAX PHONE <br /> SAMPLER(PRINT&SIGN NAME) <br /> i c� i �v �/� ��` DUE DATE <br /> CALTEST DATE TIME CONTAINER COMP <br /> # SAMPLED SAMPLED MATRIX AMOUNtlFYPlr PRESERVATIVE SAMPLE IDENTIFICATION SITE CLAS#T GRAB <br /> REMARKS <br /> I 4 <br /> �y FIf 1�)A +~r1 t <br /> r3 OL I`� 1 n f hFa rt rr <br /> - I <br /> FT <br /> kp <br /> 1� r <br /> � z <br /> � I <br /> I <br /> F <br /> r I f Ti <br /> I } t- <br /> t <br /> I xk <br /> I <br /> By submittal of sample(s),client agrees to abide by the Term d Cond tion's set forth on the reverse of this Vocument <br /> RELINQUISHED BY DATElTIME R EIV DATE/TIME RECEIVED BY <br /> r 1=UN <br /> ISHED BY <br /> Ir •i�,n _ <br /> $app <br /> ' i- . 813. - -Y,< """ �„y- _ �K-mow , ;,F, t_Y ew _ MATRIX AQ Aqueous Nondrinking Water,Digested Met <br /> r..,.: <br /> , I Le. Aft } r - - •-u _x- _ T"' FE=Low R L s, Aqueous Nondrinking Water Digested Meta <br /> . r _ w ; rte u �•• - �� ^' �=w� "c DW DrinKmg water, SL=Soil,Sludge,Solid,FP=Free Prod <br /> CONTAINERTYPES.~u=-.K:%_ r r„; -... �'~ •� .� .s-s�""-`;.„ _ : ���.�. ,.-„ AL=Amber Liter,AHL=500 ml <br /> Amber,PT=Pint(Plastic),QT=Quart(Plastic),HG=Half GF <br /> IQs-�--.....��t�_q ::i�- ��°' �-�-` s�,�.��rs��� �,.,'•a.:W�=F ��"�,.�.`x�-�a.w^ � '�-�' _ � - ..a -.- <br /> Ion Plastic)( stic) 5J=Soil Jar Ba=4 oz SACT <br /> BT=Brass Tube <br /> VOA=4omLV0 <br /> A, <br /> OTC=Other a Container <br />
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