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ARCHIVED REPORTS XR0001152
Environmental Health - Public
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EHD Program Facility Records by Street Name
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D
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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 XR0001152
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Entry Properties
Last modified
3/4/2019 11:13:52 PM
Creation date
3/4/2019 3:44:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001152
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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. <br /> (471 Testing and Data Management Services Analytical Report <br /> 1101 Richfield Road a Placentia, CA 92870 a (714) 572-3270 o Fax (714) 572-3274 <br /> LAB RECEIVING# 9703.006 <br /> REPORT DATE 3114197 <br /> REPORTED TO BLAINE TECH SERVICES, INC <br /> 1680 ROGERS AVENUE <br /> SAN JOSE, CA 95112 <br /> ATTN MR FRANCIS THIE <br /> WIC# 204-7524-4305 <br /> PROJECT# NONE <br /> PROJECT NAME. SHELL-620 W CHARTER WAY, STOCKTON <br /> DATE SAMPLED 2124197 <br /> $ DATE RECEIVED 2128197 <br /> #OF SAMPLES 12 <br /> s SAMPLE MATRIX LIQUID <br /> SAMPLE ID MW-1 MW-9 <br /> Q <br /> MW-2 MW-10 <br /> MW-3 DUP <br /> MW-4 E6 <br /> MW-5 <br /> M , <br /> MW-6 <br /> MW-7 <br /> MW-8 <br /> I <br /> I SAMPLE HANDLING&CONTROL STATEMENT <br /> The above mentioned 6ample(s) were received in appropriate contamer(S)accompanied by a fully signed and dated chain-of-custody <br /> record The contarner(S) were assigned unique tdentrflcaPort numbers and had Sufficient amount for the test requested unfe55 <br /> otherwise noted in the accompanying laboratory report There were no erte 5 pccific quality control requirements made at the time of <br /> Sample submittal 5ample(5)submitted did not exceed the holding time of the requested test parameters <br /> W7 . QUALITY CONTROL SUMMARY STATEMENT <br /> Laboratory Quality Control parameters and results of instrument cafibration otandardo were all within control ltmits and the <br /> analytical data hereby 5ubmrtted falls within acceptable limits of accuracy and precision unleo5 otherwise indicated Pfease see the <br /> attached Quality Control Qata for additional information <br /> ,�t�iCATC <br /> n ...�,.., AQPMEED <br /> SUBMITTED BY <br /> Girma SelasSfe <br /> Director "A'A LYS"y <br /> kA <br /> The information contained in this cover sheet is an integral part of the attached <br /> anaVical report <br /> AN DOHS Lab Certificate# 1552 A2LA Certificate# 0389 01 <br /> Expiration Date June 30 1997 Expiration Date September 30 1996 <br /> (Re-Accreditation in process} <br /> by <br /> the Stale ofCXWawvo 1 of Heath <br /> This report is nb"Ved la ma mcks a Lw or"ckwt to w"m n ks ocir* ArW iea�mnsa use orrme�iim«atoWs meiaa odveinvna aickaH wm,oui DUWKxtamn is v�ad <br /> The analYMcd resorts wmNi ttYs resat elate cNV fp the apecmc caroa+xh mtl sondes tnesn oohed and mov not necesso fr rolled oilier oppaenMy smear mote to horn the some a a stTJa bcatlm <br />
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