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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 /> McCampbell Analytical Inc. CHAIN-OF-CUSTODY RECORD Page 1 of l <br /> 110 Second Avenue South,#D7 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder. 0204142 <br /> Client <br /> Advanced Geo Environmental TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Flag City Chevro w <br /> PO 09-Apr-02 <br /> _ Requested Tests �— <br /> Sample ID CitentSamplD Matrix Collection Date Bottle - SW8015C_j 8021 B18015I- SW82BOB <br /> 'Ol 204142-001 - `� v MWBa 1040802 Water T 4!8102 2 26 00 PM � L J C _ --A- <br /> Comments <br /> l Date/Time --- -- - — - --- Date/Tame I <br /> Relinquished by. _ -- Received by. <br /> Relinquished by _— __ _ _ Received by: <br /> Relinquished by:_�-_ T -- Received by- <br /> NOTE <br /> yNOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples+null 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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