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ARCHIVED REPORTS_XR0008146
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545641
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ARCHIVED REPORTS_XR0008146
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Last modified
5/5/2020 3:22:34 PM
Creation date
5/5/2020 2:35:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008146
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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McCamoll Analytical, Inc. <br /> 110 Second Avenue South,#D7 IhAIN-OF-CUSTODY RECORD Page I of 1 <br /> Pacheco,CA 94553-5560 <br /> 10 <br /> (925)798-3620 WorkOrder 0402359 <br /> Report to Bill to Requested TAT 5 days <br /> Bill Little TEL (209)467-1006 Accounts Payable <br /> Advanced GeoEnv3ronmental, Inc FAX (209)467-1118 Advanced GeoEnviro n mental, Inc <br /> 837 Shaw Road ProlectNo Pacific Mini Mart 837 Shaw Road Date Received 2126104 <br /> Stockton, CA 95215 PO Stockton,CA 95215 Date Printed 2/26/04 <br /> Requested Tests(See legend below) <br /> Sample ID CllentSamplD Matrix Collection Date Holdi 1 12 3 4 5 6 7 S 9 70 17 12 13 14 15 <br /> 0402359-001 Influent __ I Water 2125104 11 10 00 ❑ A 8 <br /> 0402359-002 Effluent Water 2125104 3 i 00 00 ❑ A 8 e <br /> Test legend <br /> 1 1 G-MBITEX—� D-1PH_W 3 TPH(D)_W 4 �r <br /> T ___..___ ��T ] <br /> 71 — C� _� 13 14 <br /> Prepared by Maria Venegas <br /> Comments. <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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