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ARCHIVED REPORTS XR0006962
Environmental Health - Public
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EHD Program Facility Records by Street Name
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E
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103
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3500 - Local Oversight Program
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PR0544638
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ARCHIVED REPORTS XR0006962
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Entry Properties
Last modified
7/9/2019 2:45:18 PM
Creation date
7/9/2019 2:12:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006962
RECORD_ID
PR0544638
PE
3528
FACILITY_ID
FA0004027
FACILITY_NAME
HENDRIX FORK LIFT INC
STREET_NUMBER
103
Direction
N
STREET_NAME
E
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15318001
CURRENT_STATUS
02
SITE_LOCATION
103 N E ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Bitting Information : CHAIN-OF-CUSTODY RECORD Page: <br /> Alpha Analytical, WorkOrder : STR02091146 �. <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL:{775)355-1044 FAX:(775)355-040b Report Due By : 5:00 PM On : 19-Sep-02 <br /> Client: -- --- - ---- - <br /> Stratus Environmental Jay Johnson <br /> 3330 Cameron Park Drive TEL: (530)676-6000 EDD Required : Yes <br /> Suite 550 FAX-: -(530)676-6005 <br /> - - - --- Sampled by:C. Hill <br /> Cameron Park,CA 95682-8861 Job: 2001.0103fTeichert <br /> Report Attention: Jay Johnson PO: Client's COC#: none Cooler Temp: 4°C 11-Sep-02 <br /> CC Report <br /> QC Level: S3 = Final Rpt,MBLK, LCS,MS/MSD With Surrogates <br /> —_ .-- - - - - ---- - -�_ --. ------ ---- Requested Tests <br /> Alpha Client Collection No.of Bottles soo a rPHrP_w voc w <br /> Sample ID Sample ID Matrix Date ORG SUS TAT PWS# —�� 1 — l — Sample Remarks <br /> �5TR0209114601A MW-13 AQ 09!10102 6 1 6 200616020AtiTXFlGASlSSTXFlGAS/5 Tf — Inorganics-Lead <br /> 10:10 —�� oxy/1,2 A oxyslEDO A <br /> fED <br /> STR0209114602A MW-14 AQ 09!10!02 6 l 1 r6 200816020AIBTx0GAsrsaTxF�GAsrs Inorganics=Lead <br /> — 10:01 I -- --I --� oXy E3D13 A ozY/FDH A <br /> end c cei t checklist with final re ort: <br /> Comments: Custody seal.Frozen ice.CA samples,ALWAYS s o ofre <br /> Signature Print Name Company l I 1?atefTime <br /> - � -- -- -- ---- - --- C_�___ <br /> Alpha Analytical,Inc, <br /> Received by: 7 - <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 /> The report for the analysis of the above samples is applicable only to those samples received by the laboratory with this COC.The liability of the laboratory is limited to the amount paid for the report. <br /> r Matrix Type: AQ(Aqueous) AR(Alr) SO(Soil) WS(Waste) DW(Drinking Water) OT(Other Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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