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ARCHIVED REPORTS_XR0009153
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PERSHING
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4501
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3500 - Local Oversight Program
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PR0545651
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ARCHIVED REPORTS_XR0009153
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Entry Properties
Last modified
5/6/2020 11:38:34 AM
Creation date
5/6/2020 11:12:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009153
RECORD_ID
PR0545651
PE
3528
FACILITY_ID
FA0002479
FACILITY_NAME
7-ELEVEN INC #17334
STREET_NUMBER
4501
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017004
CURRENT_STATUS
02
SITE_LOCATION
4501 N PERSHING 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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I <br /> Mccamp ell Analytical Inc. CHAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> 110 Second Avenue South,#D7 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0204252 <br /> Client <br /> IT Corporation TEL (925)288-9898 <br /> 4005 Port Chicago Hwy FAX (925)288-2119 <br /> Concord, CA 94553-2233 ProjectNo #17334, STH US <br /> PO 15-Apr-02 <br /> Requested Tests <br /> Sample ID ClientSamplD Matrix Collection Date Bottle 8021BI8015 SW8260B -T <br /> 0204252-001 MW-3 Water 4111102 10 25 00 AM A B �— <br /> 0204252-002 MW-2 Water 4/11/02 9 52 00 AM A $ <br /> 0204252-003 MW-4 Water 4111/02 9 35 00 AM A B <br /> 0204252-004 MW-5A Water 4111102 11 10 00 AM A B <br /> 0204252-005 MW-58 �� a Water 4/11102 11 24 00 AM A B <br /> I <br /> i <br /> I <br /> Comments <br /> D /teaD /tea 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 alley results are reported unless other arrangements are made Hazardous samples mull be returned to client or disposed of at client expense <br /> Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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