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ARCHIVED REPORTS_XR0005721
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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2402
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3500 - Local Oversight Program
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PR0545640
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ARCHIVED REPORTS_XR0005721
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Last modified
5/5/2020 2:50:53 PM
Creation date
5/5/2020 1:52:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005721
RECORD_ID
PR0545640
PE
3528
FACILITY_ID
FA0003900
FACILITY_NAME
PACIFIC PRIDE COMMERCIAL FUEL
STREET_NUMBER
2402
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
12506001
CURRENT_STATUS
02
SITE_LOCATION
2402 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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LSauers
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EHD - Public
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As <br /> McCain o'ell Anal tical Inc. l <br /> y CHAIN-OF-CUSTODY RECORD page l of l <br /> 1[D Second Avenge South,#D7 <br /> Pacheco,CA 94553-5560 = - <br /> (925)798-1620 WorkOrder: 0208327 <br /> Client: <br /> Advanced GeoEnvironmental, Inc. TEL: (209)467-1006 <br /> 837 Shaw Road FAX: (209)467-1118 <br /> Stockton, CA 95215 ProlectNo: Cal Fuels <br /> PO: 20-Aug-02 <br /> Requested Tests <br /> Sample ID ClientSamplD Matrix Collection Date Bottle 8021818015 rr <br /> 02D8327-001 I Influent Air_ 8119102 11:277OO AM A i r <br /> 0208327 002 y Effluent Air 8/19152 11:24:00 AM I_A - - <br /> Comments: <br /> --- _. - - , DatelTim -; -� - - - . _ —. . _ . . - --- EDate/'Time - <br /> _ - - z-._.. -> _ _ <br /> Relinquished by: — --_ - Received by: <br /> Relinquished.by:.—== :.:_ : - . .- Received by: <br /> Relinquished by: Received by: <br /> I <br /> kNOTE: 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 /> Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br /> w <br /> } <br />
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