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ARCHIVED REPORTS_XR0008119
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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4511
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3500 - Local Oversight Program
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PR0545641
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ARCHIVED REPORTS_XR0008119
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Entry Properties
Last modified
5/5/2020 3:32:46 PM
Creation date
5/5/2020 2:21:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008119
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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WOW 011111111111 1111111111111111W w <br /> Mcca*ell Analytical Inc. Page 1 of <br /> 194 Second Avenue South,#D7 CHAIN-Of-CUSTODY RECORD <br /> Pacheco,CA 44553-5560 <br /> (425)798-1620 'WorkOrder 4245232 <br /> Client <br /> Advanced GeoEnvironrnental TEL (209)467-1006 <br /> 837 Shaw Road FAX (208)467-1118 <br /> Stockton,CA 95215 ProjectNo Pactfsc Mini Mart <br /> PO 17-May-02 <br /> Ftequssted'fasts <br /> ID ChentSamplD Matrix Collection Date Bottle SW6015C__ 8421818015 SW82606 v__ n w ----- - <br /> Sample <br /> 02_0_523_2_-017 M_Wi5105-15-02 Water _5115!42 8 33 00 AM C A B <br /> 4245232-018__ MW 16!{35-15-02 Wafar 5115!02 S 3340 AM C A -B - — <br /> 0205232-019 f VW-1105-15-02 ^N Water 51t51Q2 3 28 OQ PM C y q <br /> I <br /> Comments Global ld#T0607700451(These sanyles were on off hold 5/17 we were missing trait of these samples) � <br /> -- - - - - - _- ---- - Date/Tzn e _ -_ __ _ _ - _ _ _ __ -- - Date/Time <br /> Re1tn utshed b : ____ Received by. -_-- - ----- <br /> Relinquished <br /> __--_Relinquished by __ __ __ _- __ __ _ __ _ _ _ Received by - <br /> Relinquished by ................. --- Received by <br /> WYE 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 lar O Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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