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ARCHIVED REPORTS_XR0008117
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PACIFIC
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3500 - Local Oversight Program
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PR0545641
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ARCHIVED REPORTS_XR0008117
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Last modified
5/5/2020 3:34:59 PM
Creation date
5/5/2020 2:19:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008117
RECORD_ID
PR0545641
PE
3528
FACILITY_ID
FA0002480
FACILITY_NAME
SHOP N GO 3
STREET_NUMBER
4511
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11023011
CURRENT_STATUS
02
SITE_LOCATION
4511 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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McCam ell Analytical Inc. • <br /> p y <br /> I t0 Second Avenue South,#Q7 CHAIN-OF-CUSTODY RECORD Page I of I <br /> -� <br /> Pacheco,CA 94553 5560 <br /> l <br /> --- -- (925)799-1620 WorkOrder 4211472 <br /> Client <br /> Advanced Geo Environmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Arco Pacific Mini Mart Date Received 11/27/02 <br /> PO Date Printed 11/27/02 <br /> Requested Tests c <br /> Sample 10 ClientSamplC Matrix Collection pate Hold SW8015C 80218/8015 5W82fi0B I — � <br /> 0211472-017 - - MW15 Water 11/26/02 2 10 00 PM - �� - B - A C --- - --- -' --— - — -- <br /> 0211472-018 MW16 Water 1.1126102 2 32 00 PM 1 B A C I <br /> 0211472-019 VW-1 Water 11/26/02 11 38 00 AM ❑ T B�=___ A <br /> ---- - --- - J x -- --------�-- - <br /> Prepared by <br /> Comments <br /> I <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 />
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