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ARCHIVED REPORTS_XR0012454
Environmental Health - Public
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EHD Program Facility Records by Street Name
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L
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LODI
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2900 - Site Mitigation Program
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PR0505714
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ARCHIVED REPORTS_XR0012454
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Entry Properties
Last modified
3/4/2020 9:46:12 AM
Creation date
3/4/2020 9:36:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012454
RECORD_ID
PR0505714
PE
2950
FACILITY_ID
FA0003590
FACILITY_NAME
M B P
STREET_NUMBER
501
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03731045
CURRENT_STATUS
02
SITE_LOCATION
501 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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mccamp ell Analytical Inc. CHAIN-OF-CUSTODY RECORD page I of I <br /> 110 Second Avenue South,#D7 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder: 0205078 <br /> Client: <br /> Advanced GeoEnvi ro n mental TEL: (209)467-1006 <br /> 837 Shaw Road FAX: (209)467-1118 <br /> Stockton,CA 95215 ProjectNo: MBP/Lodi <br /> PO: 07-May-02 <br /> Requested Tests <br /> Sample 10 ClientSampla Matrix Collection Date Bottle 8021BI8015 — <br /> ----- --- - --- —--- <br /> 0205078-001 I Effluent Air f 516102 91:06:00 AM _ A <br /> Comments: <br /> -- DatelTim� Date/Time <br /> Relinquished by: Received by: <br /> Relinquished by: Received by: <br /> Relinquished by: Received by: <br /> NOTE: Samples are discarded 60 days after results are reported unless other arrangements are made. Hazardous samples wilt be returned to client or disposed of at cUent expense. <br /> Bottle Type: L-Liter V-Voa S-Soil.lar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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