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ARCHIVED REPORTS XR0004695
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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3500 - Local Oversight Program
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PR0544427
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ARCHIVED REPORTS XR0004695
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Entry Properties
Last modified
5/7/2019 9:24:52 AM
Creation date
5/7/2019 8:53:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004695
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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McCam�ell Anal t><cal Inc. � <br /> 11 P cond Avenue South #07 CHAIN-OF-CUSTODY RECORD Page ` of 1 <br /> Pacheco,CA 94553 5560 <br /> (925)798-1620 WorkOrder 0212022 <br /> Client <br /> s <br /> Advanced Geo Environmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Chase/Madison Date Received 1.213102 <br /> PO 4 Date Printed 1213!02 <br /> -- Requested Tests <br /> Sample ID ChentSamplD Matrix Collection Date Hold SW8015C 80211318015 <br /> 0212022-001 MW 2 — -_ _Water 1212102 12 09 00 PM �_� B - A -- —- - --�-- — --- - __ <br /> --- <br /> 0212022-002 M W 4 Y- Water 1212102 1 10 00 PM ❑ B A <br /> 0212022-003 M W 5 � Water 1212102 12 40 00 PM ❑ ,B A <br /> Prepared by <br /> Comments <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made hazardous samples will be returned to client or disposed of at client expense <br /> i <br />
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