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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 MAPA,CA 94558 (707)258-4000 FAX(707)226-1001 PAGE , OF T <br /> Caltest <br /> SAMPLE CHAIN OF CUSTODY <br /> PROJEETN- E 1 PROJECTNLUBER Pot LAB ORDER t <br /> AryalL^rtrirYs IJiBQRA'TQilY 0090158 C0901 68 <br /> CLIENT REPORT TO (clydc one) <br /> Caltest Analytical Laboratory Chanya Heang ANALYSED REQUESTED <br /> MAILING ADDRESS STATE rP <br /> 1885 N Kelly Road CA 94558 <br /> TURN-AROUND TIME <br /> BILLING ADDRESS ATTR <br /> Same Same STANDARD <br /> PHONE J FAX PHONE. SAMPLER(PRINT 6 SIGN NAME) <br /> F <br /> 707/258 4000 7071226-1001 CLIENT y ❑RUSH <br /> DUE DATE <br /> m <br /> CALYEST DATE TIME SAMPLE CONTAINER u <br /> CAB C SAMPLED SAMPLED MATRIX YYPEI PRESERVATIVE SAMPLE IDENTIFICATION 1 SITE REMARKS <br /> AMOUNT <br /> Y <br /> 09 05 02 1310 FE AMBER LITER NONE EFFLUENT FLAG CITY CHEVRON X Please Include P 0 NUMBER, <br /> PROJECT NUMBER,and SAMPLE <br /> ID/SITE on REPORT and INVOICE <br /> `Please RETURN COOLER <br /> PLEASE FLAG,DOWN TO MDL AND� <br /> r <br /> INCLUDE MDL AND RL ON REPOR <br /> 1 g <br /> REUNQUISHED BY DATElUME RECEIVED BY RELINGIASHED BY DATEITIME RECEIVED BY <br /> Sumpter WC MICRO BIQ AA ev VOA pH7 YIN TEMP BALED YN INTACT- YIN 'MATRDC Aq-AqueousNcndrmlongWater <br /> Digested Metals FE-Low R La Aqueous <br /> T BT> BIC+ -- WG AA �^ COMMENTsc SUBCONTIrACTLABNAMr, Nendnnkmg Water Digested Matels DW. <br /> Drmlang Water SL-Soil Sludge Solid FP- <br /> w M �Y VOA STL "COI ITAINEA TYPES AL-Amber Liter AHL. <br /> 500 ml Amber PT-Pint(Plastio) OT-quart <br /> SIL HP J� Pr OT - V DAr 575 8th Street Cast (Plastic) HG-Half Gallon(Plasllc) SJ-Sou Jar <br /> B4-4o7-BACT BT-Brass Tube VOA-4DmL <br /> Cd <br /> wkm. HBO, Nar7H VOA OTC Other Type Cortainer <br /> TAconw,Washington 94424 <br /> PIL HNO, HCL PI-11253)922230 <br /> R PA M F <br /> ov <br /> J r4 <br />
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