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ARCHIVED REPORTS XR0001151
Environmental Health - Public
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EHD Program Facility Records by Street Name
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DR MARTIN LUTHER KING JR
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620
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3500 - Local Oversight Program
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PR0544216
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ARCHIVED REPORTS XR0001151
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Last modified
3/4/2019 10:26:20 PM
Creation date
3/4/2019 3:44:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001151
RECORD_ID
PR0544216
PE
3528
FACILITY_ID
FA0003738
FACILITY_NAME
CHARTER WAY SHELL*
STREET_NUMBER
620
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
Stockton
Zip
95206
APN
16504007
CURRENT_STATUS
02
SITE_LOCATION
620 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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WNg
Tags
EHD - Public
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Analytical RepodTeshng and Data Management Services <br /> 1101 Richfield Road o Placentia, CA 92870 a (714) 572-3270 a Fax (714) 572-3274 <br /> LAB RECEIVING#. 971313.131�5 <br /> REPORT DATE 919197 <br /> REPORTED TO BLAINE TECH SERVICES, INC <br /> 1680 ROGERS AVENUE <br /> SAN JOSE, CA 95112 <br /> I <br /> ATTN MR FRANCIS THIE <br /> Me WIC# 2047524-4305 <br /> PROJECT# NONE <br /> PROJECT NAME- SHELL-620 W CHARTER WAY, STOCKTON <br /> DATE SAMPLED- 8121197 <br /> DATE RECEIVED 8125197 <br /> #OF SAMPLES 12 <br /> SAMPLE MATRIX LIQUID <br /> SAMPLE ID. MW-1 <br /> MW-2 <br /> MW-3 <br /> MW-4 <br /> MW-5 <br /> MW-6 <br /> MW-7 <br /> MW-8 <br /> MW-9 <br /> MW-10 <br /> EB <br /> DUP <br /> 3 <br /> 3 <br /> SAMPLE HANDLING 8 CONTROL STATEMENT <br /> The above-mentioned eample(e)were received In appropriate contalner(s)accompanied by a futly signed and dated chain-of-custody <br /> record The contalner(s) were asslgned unique identiffcat{on numbers and had ouffTclent amount for the teat requested unless <br /> otherwise noted In the accomparrying laboratory report, There were no site specific quality control requirements made at the time of <br /> sample submittal 5ample(s)submtttcd did not exceed the holding time of the requested test parameters <br /> QUALITY CONTROL SUMMARY STATEMENT <br /> Laboratory Qualfty Control parameters and results of Instrument calibration standards were all within control limits and the <br /> anaWcaf data hereby submfttrd falls within acceptable timits of accuracy and precislon unless otherwise Indicated Please sec the <br /> attached Quality Control Data for additional Information <br /> ,�1F t C e1 TF <br /> AFROYE0 <br /> SUBMITTED BY ✓✓✓ <br /> Girma Se SSW <br /> 4 UfS��' <br /> Director <br /> The information contained in this cover sheet is an integral part of the attached <br /> analytical report <br /> DONS Lab Certfcate t 1552 A2LA Certifirate t 038901 <br /> Expimbon Date June 30,1999 E%pimbon Date September 30 1996(Re-Aareeitetion in process) <br />
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