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ARCHIVED REPORTS_XR0005176
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MONTE DIABLO
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1766
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2900 - Site Mitigation Program
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PR0535112
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ARCHIVED REPORTS_XR0005176
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Entry Properties
Last modified
9/24/2020 12:24:21 AM
Creation date
3/17/2020 3:39:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005176
RECORD_ID
PR0535112
PE
2957
FACILITY_ID
FA0020296
FACILITY_NAME
CHAPIN BROTHERS INC
STREET_NUMBER
1766
STREET_NAME
MONTE DIABLO
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
APN
13505050
CURRENT_STATUS
01
SITE_LOCATION
1766 MONTE DIABLO AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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McCam bell 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)798-1620 WorkOrder. 0205428 <br /> Client <br /> Advanced GeoEnvironmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Chapin Bros Inc <br /> PO 30-May-02 <br /> Requested Tests _ <br /> Sample ID ClientSamplD Matrix Collection Date Bottle 200_71E200_ SM4500H+B 8021BI8016 <br /> 10205428-001 EFFLUENT _ Water 5130102 8 40 00 AM C B A <br /> 0205428-002 VW6 Water 5130102 8 20 00 AM — A <br /> 0205428-003_ EW1 Water 5130102 8 00 00 AM A <br /> 0205428-004 l EW2 Water 5130102 8 05 00 AM A <br /> 0205428-005 EW3 Water 5!30102$10 00 AM --- A <br /> Comments. <br /> �---- --- — - — -- Date/Time �— --- Date/Time <br /> Relinquished by Received by- <br /> Relinquished <br /> yRelinquished by Received by <br /> Relinquished by Received by <br /> I NOTE Samples are discarded 60 days atter results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense <br /> Bottle Type L-Liter V-Voa S-Sod Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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