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ARCHIVED REPORTS XR0001154
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 XR0001154
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Entry Properties
Last modified
3/4/2019 10:55:48 PM
Creation date
3/4/2019 3:46:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001154
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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t � <br /> Testing and Data Management Services Analytical Report <br /> 1 101 Richfield Road o Placentia, CA 92870 a (714) 572-3270 a Fax (714) 572-3274 <br /> LAB RECEIVING# grace. 1 Z5 <br /> REPORT DATE 916196 <br /> at, <br /> REPORTED TO BLAINE TECH SERVICES, INC <br /> 985 TIMOTHY DRIVE <br /> SAN JOSE, CA 95133 <br /> ATTN . MR JIM KELLER <br /> WIC# 204-7524-4305 <br /> PROJECT#- NONE <br /> PROJECT NAME SHELL-620 WEST CHARTER WAY, STOCKTON <br /> �gX <br /> ", <br /> DATE SAMPLED 8122196 <br /> y DATE RECEIVED 8123196 <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 /> SAMPLE HANDLING&CONTROL STATEMENT <br /> The above mentioned sampfe(s) were received in appropriate container(o) accompanied by a fully signed and dated <br /> chain-of-custody record The contarner(s) were assigned unique identification numbers and had sufficient amount for <br /> the test requested unless otherwise noted in the accompanying laboratory report There were no arte specific 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 limits <br /> and the analytical data hereby submitted falls within acceptable fimrts of acouracy and precision unless otherwise <br /> indicated Please See the attached Quality Control Data for additional information <br /> a <br /> SUBMITTED BY _ r �'Girma Selas ieQAIQC Director <br /> The information contained in this cover sheet is an integral part of the attached <br /> analytical report <br /> OOHS Lab Certlrieate 0 1552 A2LA Certificate it 038901 <br /> Expiration Date June 30 1997 Expiration Date September 30 19% <br /> n <br /> Approved bW tie Stale of CcRorrstp DePairrx"or Helm SeMcos a AnA Arreftan assockMri ra LcboK y Accreakanon <br /> ThIS MOW Is A"Med fa Rie OXCKWve use Of the elero to whom n Is addressed Arty reprodsmn or use of the LmoratWS rmwi ra aWerlL irg a pLib"wMtsaA wthanzaMon t PrOtlt d <br /> She a xWncal mujis Whin 7W report relate only W Msa Up clOc camPdrWs and svnples lrrveitrlpated o W rnav not neces W reflect other mpar W stela material from the some of a sirr"IocaMon <br />
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