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ARCHIVED REPORTS XR0001613
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CLAY
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639
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3500 - Local Oversight Program
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PR0544513
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ARCHIVED REPORTS XR0001613
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Entry Properties
Last modified
6/14/2019 1:14:23 PM
Creation date
6/14/2019 10:39:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001613
RECORD_ID
PR0544513
PE
3528
FACILITY_ID
FA0024115
FACILITY_NAME
WEST CLAY PROPERTY
STREET_NUMBER
639
Direction
W
STREET_NAME
CLAY
STREET_TYPE
ST
City
STOCKTON
Zip
95209
APN
14707110
CURRENT_STATUS
02
SITE_LOCATION
639 W CLAY ST
P_LOCATION
01
QC Status
Approved
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EHD - Public
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p,b�l7 Analytical Inc. <br /> t10SecandAtienueSou[h,#t]7 <br /> CHAIN-OF-CUSTODY RECORD Paye t or l <br /> Pacheco,CA 94553-5560 <br /> (925)799-1620 Wot kOrdet. 0202181 <br /> Client <br /> Advanced GeoSnvironmental TEL <br /> 837 Shaw Road FAX <br /> Stockton, CA 95215 ProtectNo West Clay <br /> PO 28-Feb-02 <br /> _ Requested Tests <br /> sample iD CllentSamplD Matrix Collection Date Botda SW78 —C 1N8021H18D15 5W8260B _- <br /> 0202184-017 MW13AJ1022702 Water 2127102 1 59 00 PM C A <br /> 2127102 2 44 DD PM C A <br /> 020218#018 MW13B1022702 Water _ B — <br /> 0202184-019 EW11022702� Water 2127/02 4 08 00 PM C A -B -- <br /> 0262184020—t EW21022702 - - Water 2127142 2 55 00 PM _ _ C A B --- <br /> Comments. <br /> Date/" <br /> Relinquished by. _ _—__-- _ _ Received by, <br /> Received by. <br /> Rehngtushed by. _ _�_--�--- Received by. _ - -- -- �- <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to Lhent or disposed of at client expense <br /> 1 <br /> Botile Type L-Liter V Vod S Boil Jar O Orbo T-Pedlar B-Brass P Plasitc O r Other <br />
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