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ARCHIVED REPORTS XR0001153
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 XR0001153
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Entry Properties
Last modified
3/4/2019 10:09:11 PM
Creation date
3/4/2019 3:45:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001153
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
Scanner
WNg
Tags
EHD - Public
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(Am Analytical Report <br /> Vesting and Data Management Services <br /> 1 101 Richfield Road a Placentia, CA 92670 a (714) 572-3270 a Fax (714) 572-3274 <br /> LAB RECEIVING# 9611 <br /> REPORT DATE: 1216196 <br /> REPORTED TO. BLAINE TECH SERVICES, INC <br /> 985 TIMOTHY DRIVE <br /> SAN JOSE, CA 95133 <br /> ATTN MR FRANCIS THIS <br /> ar <br /> WIC# 204-7524-4305 <br /> PROJECT#. NONE <br /> PROJECT NAME: SHELL-620 WEST CHARTER WAY, STOCKTON <br /> DATE SAMPLED 11/25/96 <br /> WRA DATE RECEIVED. 12/27/96 <br /> #OF SAMPLES. 12 <br /> SAMPLE MATRIX LIQUID <br /> SAMPLE ID MW-1 MW-10 <br /> MW-2 EB <br /> MW-3 DUP <br /> MW-4 <br /> MW-5 <br /> MW-6 <br /> MW-7 <br /> MW-8 <br /> MW-9 <br /> SAMPLE HANDLING &CONTROL STATEMENT <br /> - The above mentioned gample(5) were received in appropriate container(o) accompanied by a fully signed and dated <br /> , . chain-of-custody record The containers) were assigned unique identification numbers and had sufficient amount for <br /> the test requested unfess otherwise noted in the accompanying laboratory report There were no Site spectftc quality <br /> control requirements made at the time of sample submittal 5ampfe(s) submitted did not exceed the holding time of <br /> the requested test parameters <br /> QUALITY CONTROL SUMMARY STATEMENT <br /> Laboratory Quality Control parameters and results of instrument calibration standards were all within control limite <br /> and the analytical data hereby submitted pally within acceptable limits of accuracy and prectaion unless otherwt5e <br /> indicated Please see the attached Quality Control!Tata for additional information <br /> Ftc"rF <br /> PROVED <br /> SUBMITTED BY �1� <br /> Girma Sela ie <br /> QA/QC Director �N"1-1 Sxy <br /> y <br /> The information contained in this cover sheet is an integral part of the attached <br /> analytical report <br /> DOHS Lab Certlfiaate lk 1552 A21A Certificate 0 038901 <br /> Expiration Date June 30 1997 Expiration Date September 30 1996 <br /> Aparas+Bd by No State of CaWomw Deoaarre"a Heath Services!A2LA Amorlcm Assocwllon for Labowtoav ACC*dlfa!ion <br /> This report Is ssbrrOted lar fie explus\m use of the clent to whom It Is aaAeswd Arn IepaallGPors a use of the lCaaraorVs none for aC.antvrg a p�btCtH vmisortf asR�olltalon b pralbltsq <br /> >re aMOMICa realls+rlttV+Ns reoorl revere orae to the fO irk-caa%)Ounds orw sorrow nveglnalea orq rt not nec—=*reMct ottm cccae rtv ri 10 maerle!'ran the sante a 0 sIr'nto IOcptlon <br />
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