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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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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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LSauers
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EHD - Public
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s <br /> McCamp ell analytical ]Inc.110 Second Avemie South,#D7 CHAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> --- <br /> 141 <br /> I Pacheco,CA 94553 5560 <br /> 1 (925)798 1626 <br /> WorkOrder 0211444 <br /> Client <br /> Advanced GeoEnvironmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo #AMM-11102 Date Received 11/26/02 <br /> PO Date Pi anted 11/26/02 <br /> u _ Requested Tests <br /> Sample ID ClientSamplD Matrix Collection Date Hold L SWB 115C B027BI8015 <br /> '211444 001 Influent Water 11/25/02 1# 45 00 AMvL—G_ � B r_ 1__ _ 8 <br /> Prepared by <br /> Comments <br /> MOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous camp#es will be returned to client or disposed of at client expense <br />
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