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ARCHIVED REPORTS XR0000677
Environmental Health - Public
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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 XR0000677
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Entry Properties
Last modified
2/15/2019 8:28:52 PM
Creation date
2/15/2019 3:43:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000677
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
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EHD - Public
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,..^. .� �. .� a� � r, ws to Itt� � � ��1• � <br /> McCamtell Analytical Inc. <br /> 110 Second Avenue South,#D7 ?HAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> Pacheco CA 94553-5560 <br /> (925)798-1620 <br /> Wark4rder 0309314 <br /> Client <br /> Advanced GeoEnvironmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProjectNo Flag City Chevron Date Received 9117103 <br /> PO Date Printed 9117103 <br /> -� -__--- -_— Requested Tests �- -- — --7 <br /> Sample IDCltent5amplD Matrix Collection tate Hold ; 5WB015C N8021BIti015 <br /> 0309314-001 MW8a _ Water 9116!03 8 59 00 AM -❑ --A — ; A � - — - <br /> 0309314-002 MWBb Water 9116103 9 29 00 AM L1 A A B <br /> 0309314-003 j- MWBc Water 9116103 9 54 00 AM ❑ A A_ B -� - <br /> 030931414-004MW9a Wafer_ 9/16103 11 01 00 AM ❑ A A B -- -- -- - -- T - <br /> 0309314-005 _ MW9b _Water 9116103 11 27 00 AM _ ❑ A A B <br /> 0309314-006 _ MW9c - Water 9116103 11 53 00 AM ❑ _ A A B <br /> 0309314-007 MW 12a Water 9116/03 12 52 00 PM ❑ A A B <br /> 0309314-008 _ MW 12b Water 9116103 1 32 00 PM ❑ A ; A B <br /> 0309314-009 MW 12c oWater 9116103 2 09 00 PM ❑ A A g <br /> 4309314-010 MW 12d Water 9116103 2 34 00 PM ❑ A A B ---- -- �—- <br /> Prepared by Marta Venegas <br /> Comments l <br /> I <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br />
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