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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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3500 - Local Oversight Program
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PR0545641
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ARCHIVED REPORTS_XR0008117
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Entry Properties
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
Scanner
LSauers
Tags
EHD - Public
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�� �� � � � �� � �� fid � i � � f♦ <br /> McCamp ell Analytical Inc. CHAIN-OF-CUSTODY RECORD <br /> 110 Second Avenue South,#D7 _ <br /> Pacheco CA 945D3 5560 <br /> (925)795 1620 <br /> WorkOi ilei 02.10392 <br /> Client <br /> Advanced Ge0Environmental, Inc TEL (209)467 1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProjectNo Pacific Minl Mart- <br /> PO 22-Oct-02 <br /> - --- --4 - Req_uested Tests - - - - <br /> Sample ID ClientSamplD Matrix Collection Date Hold 80216/8015 <br /> 10210392 001 Effluent Water 10/18/02 1 45 01)PM _ A <br /> 0210392-002 ~� Influent--- Water ry 10/18/02 1 15 00 PM A <br /> 0210392-003 - - EW1 - Water 10/18/02 1 30 00 PM ( f T A v I <br /> a <br /> 1 <br /> Comments <br /> Date/Time — Date/Time <br /> Relinquished by -- --- - - — ----- - - Received by -- - -- --- -- <br /> Relinquished by _ — _ - - Received by <br /> �Relinquished 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-Soif Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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