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ARCHIVED REPORTS_XR0004946
Environmental Health - Public
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EHD Program Facility Records by Street Name
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M
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MOSSDALE
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3500 - Local Oversight Program
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PR0545585
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ARCHIVED REPORTS_XR0004946
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Entry Properties
Last modified
9/15/2020 11:40:51 PM
Creation date
3/19/2020 3:12:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004946
RECORD_ID
PR0545585
PE
3528
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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Mccai&ell Analytical Inc. • <br /> 110 Second Avenue South #LD7 4tRAIN-OF-CUSTODY RECORD Page 1 of I <br /> 4 PaLlieco,CA 94553-5560 <br /> (925)798-1620 <br /> WorkOrder 0312192 <br /> Report to Bill to Requested TAT 5 days <br /> Bill little TEL (209)467-1006 Accounts Payable <br /> Advanced GeoEnvlronmental, Inc FAX (209)467-1118 Advanced GeoEnvlronmental, Inc <br /> 637 Shaw Road ProlectNo MBP Mossdale 837 Shaw Road Date Received 12/10/03 <br /> Stockton, CA 95215 PO Stockton CA 95215 DertePrinted 12/10/03 <br /> Requested Tests(See legend below) <br /> Sample I❑ Client5amplD Matrix Collection Date Bold 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 <br /> 0312192-001 CPT2gw 55 Water 1219103 8 30 00 AM' ❑ A B I - - <br /> 0312192-002 CPT2gw 89 _ Water 1219103 9 30 00 AM ❑ A 8 i moi — --- <br /> 0312192-003 CPT2gw 110 _Water 12/9103 10 30 00 ❑ 1 A B_ '--T� - — <br /> [0312192-004 - CPT3gw 55 } Water L 121 9103 11 40 00 j�] A B I I <br /> ' I I <br /> 0312192-005 CPT3gw 85 Water 1219103 12 15 00 i ❑ A 18 - --�T--- <br /> ,0312192-006 _CP_T_3gw 110- Water �12191D3 1 00 00 PM ❑ T-- <br /> 10312192-007 CP_T1g_w 55 T Water 12/9103 2 40 00 PM <br /> ❑ A ~B <br /> '0312192-008~ CPTtgw 80 YWater {1219103 3 15 00 PMI ❑ A B I <br /> Test Legend, <br /> _ G-MBTEX=W _- j 2 MBTEXOXY-9260B_W 4 <br /> X11 - - - - --- � 12� _ -- 13 -- - - -- -- 1 11433 - - ------, 15� ---- _ -1 <br /> Prepared by- Maria Venegas <br /> Comments <br /> NOSE 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 />
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