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ARCHIVED REPORTS_XR0008146
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_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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M ® v t� �■■ <br /> ell Analytical, Inc. Page of 1 <br /> McCam yINAIN-OF-CUSTOGYg110 Second Avenue South,9D7 RECORD <br /> Pacheco CA 94553-5560 <br /> (925)798-1620 WorkOrder 0403246 <br /> Reportto Bill to Requested TAT 5 days <br /> Bill Little TEL (209)467-1006 Accounts Payable <br /> Advanced GeoEnvlronmental, Inc FAX (209)467-1118 Advanced GeoEnvironmental, Inc <br /> 837 Shaw Road ProtectNo Pacific MIM 837 Shaw Road Date Received 3116104 <br /> Stockton, CA 95215 PO Stockton, CA 95215 Date Printed 3116104 <br /> Requested Tests(See legend below) <br /> Sample ID ChentSamplD Matnx Collection Date Hold 1 2 3 4 5 6 7 1 8 9 10 11 12 13 14 115 <br /> 0443246-001 Influent Water 311 5104 3 15 00 PM ❑ A <br /> - - <br /> 10403246-002 Effluent Water 3!15104 3 00 00 PM ❑ A D C B �_ <br /> I <br /> Test Legend <br /> 1 G-MBTEi Vi [:21- <br /> MTBE_W �� 18 <br /> C�H_W 4 TPH(D}_W �F;5,,�r <br /> ---- L'1�- - - —� L 8 1_ — 9 —� I ' ------ - - - <br /> C12 14 15 F -- <br /> Prepared by Melissa Valles <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 1 <br />
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