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ARCHIVED REPORTS XR0000686
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 XR0000686
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Entry Properties
Last modified
2/15/2019 7:29:01 PM
Creation date
2/15/2019 4:04:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000686
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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0 0 <br /> McCampbeAnalytical Inc. CHAIN-OF-CUSTODY RECORD Page 2 of 2 <br /> 110 Second Avenuu e South,4D7 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0203513 <br /> Client <br /> Advanced GeoEnvlronmental TEL <br /> 837 Shaw Road FAX <br /> Stockton, CA 95215 ProjectNo #FLAG CITY _ <br /> PO 28-Mar-02 <br /> - ---_ z -- - Requested Tests - ----- - -- - <br /> Sample ID ChentSamplD Matrix Collection Date Bottle r -SW8270C <br /> 100203513-001 MW11032702 Water 3127102 4 34 00 PM -- - <br /> ;0203513-002 M_W21032702 � _Water M_ 3127/02 5 09 00 PM ! <br /> 10203513-003 MW41032702 Water X312`7`!02 5 38 00 PM <br /> 0203513-004 MW51032702 r Water 3127!02 fi 03 00 PM <br /> 0203513-005 MW6A/032702 Water 3/27/023 44 00 PM z <br /> J0203513-006 MW613/032702 Water 3127102 4 02 00 PM <br /> 0203513-007 _MW8A/032702 L Water 3127102 4 05 00 PM <br /> 0203513-008 MW8B1032_702_ Water 3/27102 2 30 00 PM — <br /> 0203513-009__- MW8C1032702 Water 3/27102 1 56 00 PM i <br /> 0203513-010 MW_9A1032_702 w Waterm�� 0 <br /> - I _ _ 3!27102 5 07 OD PM <br /> 102-03513-011 . 14W9 32702 Water 3127102 4 21 00 PM <br /> 0203513-012 MW9C1032702 Water 3/27_102 3 48 00 PM <br /> 0203513-013 MW10A1032702— Water 3127102 3 21 00 PM_I - <br /> 0203513-014 MW10B/032702 Water 3127/02123 5 00 PM _ - <br /> 02MM015 MWtI'd EM01202 - Wmer 3iZfM1.1 TA0 - - I <br /> Comments <br /> Date/Time ------- - - — --- -Date/Time i <br /> Relinquished by - _ - -- - - - - - Received by. `�--- - - -- ---- -- <br /> I Relinquished by - - W - Received byRelinquishedby _ ----- _ -- - _ Received by. - --- - - 1 <br /> i NOTICE Solid samples are discarded after 60 days and Non-Solid samples are discarded atter 30 days unless other <br /> arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br /> Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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