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ARCHIVED REPORTS_XR0003263
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HOUSTON
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1740
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3500 - Local Oversight Program
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PR0545289
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ARCHIVED REPORTS_XR0003263
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Entry Properties
Last modified
2/11/2020 9:58:14 AM
Creation date
2/11/2020 8:47:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003263
RECORD_ID
PR0545289
PE
3528
FACILITY_ID
FA0003828
FACILITY_NAME
VAN BUSKIRK GOLF COURSE
STREET_NUMBER
1740
STREET_NAME
HOUSTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95206
APN
16307036
CURRENT_STATUS
02
SITE_LOCATION
1740 HOUSTON AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Mccalp ell Analytical Inc. <br /> P y CHAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> 110 Second Avenue South,#D7 <br /> Pacheco,CA 94553-5560 <br /> (925)799-1620 WorkOrder: 0204087 <br /> Client: <br /> Advanced GeoEnvironmental TEL: (209)467-1006 <br /> 837 Shaw Road FAX: (209)467-1118 <br /> Stockton, CA 95215 ProjectNo: Van Baskirk Golf <br /> P0: 05-Apr-02 <br /> _ Requested Tests <br /> Sample ID ClientSamplD Matrix Collection Date Bottle 80218!8015 <br /> 0204087-001 MW-9104-44-02 Water_ 414102 A + <br /> 0244087-002 MW10104104/02 Water 414102 A i <br /> Comments: <br /> -- -- - -------- --. . _..- — --- Date/Time - - -- Date/Time <br /> Relinquished by: - --- Received by: —..._....- <br /> 1 Relinquished by: — Received by: <br /> Relinquished by: —�-- Received by: - -------------- <br /> NOTICE: Solid samples are discarded after 60 days and Non-Solid samples are discarded after 30 days unless other <br /> arrangements are made. Hazardous samples will be returned to client or disposed of at client expense. <br /> Bottle Type. L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Pfastic OT-Other <br />
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