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ARCHIVED REPORTS_XR0005722
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_XR0005722
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Last modified
5/5/2020 2:57:01 PM
Creation date
5/5/2020 1:53:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005722
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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EHD - Public
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Mccam1ell Analytical Inc. a <br /> 110 Second Avenue South,#D CHAIN-OF-CUSTODY RECORD Page f of 1 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0206185 <br /> Client <br /> Advanced GeoEnvlronmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Cal Fuels <br /> PO <br /> 12-Jun-02 <br /> Requested Tests -- <br /> Sample ID ChentSamplQ Matrix Collection Date Bottle <br /> 0206185-00t Influent Air 6111102 12 20 00 PM A <br /> 0206185-002- EfFluent Air 6111102 12 18 00 PM _ A <br /> Comments. <br /> ---` Date/Time ---- - -- -- _ -- — Datcff tme- <br /> Relinquished by Received by: <br /> Relinquished by: Received by- <br /> Relinquished <br /> yRelinquished by: Received by <br /> NOTE 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 />
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