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ARCHIVED REPORTS_XR0009154
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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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_XR0009154
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Entry Properties
Last modified
5/6/2020 11:42:38 AM
Creation date
5/6/2020 11:12:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009154
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
Tags
EHD - Public
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M W W ■■■ V <br /> MccaQbell Analytical Inc. Page I or t <br /> 1 10 Second A,enue South,#n7 CHAIN-OF-CUSTODY RECORD <br /> Pacheco CA 94553 5564 <br /> (925)7()8-3620 Workarder• 0205253 <br /> Client <br /> Shaw Environmental& Infrastructure TEL <br /> 4005 Port Chicago Hwy FAX <br /> Concord, CA 94520 PTojecliNo 779950 <br /> PO 17-May-02 <br /> _ Requested Tests _ <br /> Sample ID CllentSamplD Matrix Collection Date Bottle 8021BIS015 SW82606 <br /> - - -- ----- - - <br /> W Y u ~ <br /> 0205253-001 AIR SPV-2 Air 5fi6/02 7 30_00 AM A S <br /> 0205253-002 Alli SPV-2 -Air - - 5116142 9 40 04 AM A 8 <br /> 0245253 003 W AIR SPV-2 Air 5116102 10 00 00 AM - � Aa <br /> 2500Air <br /> 02053- 4 _ AIR MW 5A Air u 5116102 12 00 00 PM A 6 <br /> 0205253-005 AIR SPV-1 Air 5/16102 3 30 00 PM A 8 <br /> Comments <br /> - Date/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 after results are reported unless other arrangements are made Hazardous samples wdl tie returned to citent or disposed of at cltent expense <br /> Bottle Type L-Liter V-Voa S-Soi[Jar O-Orbo T-Tedlar 8 Brass P-Plastic OT-Other <br />
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