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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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Entry Properties
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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Tags
EHD - Public
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� - Analytical <br /> Testing and Data Management Services Report <br /> Ask 1 101 Richfield Road a Placentia, CA 92870 a (714) 572-3270 a Fax (714) 572-3274 <br /> LAB RECEIVING# 9705.083 <br /> REPORT DATE 5130197 <br /> 3 <br /> REPORTED TO BLAINE TECH SERVICES, INC <br /> 1680 ROGERS AVENUE <br /> SAN JOSE, CA 95112 <br /> ATTN MR FRANCIS THIS <br /> WIC#: 204-7524-4305 <br /> PROJECT#. NONE <br /> PROJECT NAME: SHELL-620 W CHARTER WAY, STOCKTON <br /> DATE SAMPLED 5119197 <br /> DATE RECEIVED 5122197 <br /> #OF SAMPLES 12 <br /> SAMPLE MATRIX LIQUID <br /> SAMPLE ID MW-1 MW-9 <br /> MW-2 MW-10 <br /> MW-3 DUP <br /> MW-4 EB <br /> MW-5 <br /> MW-6 <br /> MW-7 <br /> MW-8 <br /> win <br /> SAMPLE HANDLING 8t CONTROL STATEMENT <br /> pffiqThe above mentioned sample(s)were received in appropnate container(s)accompanied by a fully signed and dated chain- <br /> of-custody record The container(s) were assigned unique identification numbers and had sufficient amount for the test <br /> requested unless otherwise noted in the accompanying laboratory report There were no site specific quality control <br /> requirements made at the time of sample submittal Sample(s)submitted did not exceed the holding time of the requested <br /> test parameters <br /> QUALITY CONTROL SUMMARY STATEMENT <br /> Laboratory Quality Control parameters and results of instrument calibration standards were all within control limits and the <br /> analytical data hereby submitted falls within acceptable limits of accuracy and precision unless otherwise indicated <br /> Please see the attached Quality Control Data for additional information <br /> U <br /> ticAPHRED <br /> SUBMITTED BY `JGirma Selassie <br /> Director <br /> The information contained in this cover sheet is an integral part of the attached <br /> analytical report <br /> AMaVed by fig Stale d Cc fw4o DepcWOnl Of HeoM SeNlcet&A2LA-Anwter A=ckylon fa Loboraim Acc4edll0llon <br /> � __ ___... - ... . -- �__ ..w+. -� n... ........ .^x.....,. .,,.i�i........i.-.. ..'..v....M,erMnm iv rr ihAr•IN uMNv R rw M•�..kn k rrrYYtlfnri <br />
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