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ARCHIVED REPORTS XR0004694
Environmental Health - Public
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EHD Program Facility Records by Street Name
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M
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MADISON
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423
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3500 - Local Oversight Program
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PR0544427
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ARCHIVED REPORTS XR0004694
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Entry Properties
Last modified
5/7/2019 9:20:28 AM
Creation date
5/7/2019 8:52:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004694
RECORD_ID
PR0544427
PE
3528
FACILITY_ID
FA0004581
FACILITY_NAME
CHASE CHEVROLET*
STREET_NUMBER
423
Direction
N
STREET_NAME
MADISON
STREET_TYPE
ST
City
STOCKTON
Zip
95203
CURRENT_STATUS
02
SITE_LOCATION
423 N MADISON ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Mccam1ell Analytical Inc. Pae of i <br /> 110 Second Avenue South,#D7 CHAIN-OF-CUSTODY RECORD g <br /> 164Pacheco,CA 94553-5560 <br /> i (925)798 1620 WorkOrder 0302329 <br /> Client <br /> Advanced GeoEnvironmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Pro ectNo Chase/Madison Date Received 2125103 <br /> Stockton, CA 95215 1 <br /> PO Date Printed 2125103 <br /> _ Requested Tests <br /> Sample 1D ClientSam ID Matrix Collection Date Hold F SW8015C 8021Bl8015 <br /> 030232.9 001 w MW2102-21-03 Water= 2121/031 1 45 00 AM A A <br /> 031 02329-002 MW4102-21-03 Water T 2121!03 12 42 00 PNI (J A A <br /> 10302329-003 MW5102-21-03 T Water 2121103 1212 00 PM _❑ 1 A T A <br /> Prepared by Elisa Venegas <br /> Comments: <br /> MOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples owll be returned to client or disposed of at client expense { <br />
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