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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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i • <br /> McCampbell• Analytical Inc. CHAIN-OF-CUSTODY RECORD page 2 of 2 <br /> I 10 Second Avenue South,#D7 <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 ProlectNo #FLAG CITY <br /> PO 28-Mar-02 <br /> Requested Tests <br /> Sample Ill ClientSamplD Matrix Collection Date Bottle SW8270C <br /> 0203513-031 EW-71032702 Water - 3127102 12 52 00 PM E 1 <br /> 020_3513-032 EW-81032702 _ _ Water 3127102 12 32 00 PM <br /> 0203513 033 rr EW 9/032702 Water 3127102 10 28 00 AM ' <br /> j0203513-034 EW-101032702 Water 3127102 10 44 00 AM - <br /> 0203513-035 ERRLUENTWater u 3127102 1145 00 AM� E <br /> 0203513-036 MW71032802 Water 3128102 2 52 00 PM <br /> 0203513-037 MW11A1032802 Water 3128102 2 15 00 PM <br /> 0203513-038 _ ^MW11B1032802� W Water 3128102 140 00 PMY <br /> 0203513-039 MW11C1032802 Water 3128102 1 17_00 PM_ <br /> x203593-040i T� MW11DI032802 ~� Water 3128/02124900PMI I <br /> L0203513-0411 MW12A/032802 Water 3128102 12 31 00 PM -- <br /> 10203513-042 � MW12B1032802 ! Water 3128102 1 00 00 PM <br /> 0203513-043 MW12C1032802 1 Water 3128102 11_17 00 AM € I <br /> 03513-044 -- W12D1032802 Water - 3 <br /> 02128102 10 55 00 Z - - - -- — <br /> _l ---- - - --- -- - -- <br /> v <br /> Comments: <br /> - ------_ --- �� Date/Time—� _� �--- - - -- - --- Date/Time —i- 7 <br /> ------ <br /> Relinquished by _ — _ —__ - Received by _ <br /> Relinquished by: _ Received by, <br /> Relinquished by. _ _ Received by. _ 4 <br /> NOTICE Solid samples are discarded atter 60 days and Non-Solid samples are discarded after 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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