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ARCHIVED REPORTS XR0000672
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 XR0000672
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Entry Properties
Last modified
2/15/2019 6:13:55 PM
Creation date
2/15/2019 3:24:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000672
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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i ! i <br /> McCampbeil Analytical Inc. CHAIN-OF-CUSTODY RECORD Page ' of <br /> 110 Second Avenue South,#B7 <br /> Pacheco,CA 94553-5560 <br /> (925)798-162P <br /> WorkOrder. 0206276 <br /> Client <br /> Advanced GeoEnvcronmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 Propethlo Flag City Chavro <br /> PO <br /> 18-Jun-02 <br /> _ Requested Tests <br /> Sample Il] Chent5amplD Matrix Collection Date Bottle SW$27OD Trlbutyltin _. 1 <br /> - - – - — - <br /> L206276-001 ----Effluent —_ Water 6117102 2 00 00 PM q r B <br /> Comments: <br /> �� �— --- DatelTrme— -- ---- ---- ---�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 mil be returned to client or disposed of at client expense <br /> Bottle Type L-Mer V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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