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ARCHIVED REPORTS_XR0010214
Environmental Health - Public
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EHD Program Facility Records by Street Name
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SHAW
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1648
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3500 - Local Oversight Program
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PR0545689
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ARCHIVED REPORTS_XR0010214
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Entry Properties
Last modified
5/18/2020 4:06:14 PM
Creation date
5/18/2020 3:49:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010214
RECORD_ID
PR0545689
PE
3528
FACILITY_ID
FA0005164
FACILITY_NAME
FISCO WAREHOUSE
STREET_NUMBER
1648
STREET_NAME
SHAW
STREET_TYPE
RD
City
STOCKTON
Zip
00000
CURRENT_STATUS
02
SITE_LOCATION
1648 SHAW RD
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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i � � � � � tl• tl� � � tl• � tl� tt1� � <br /> McCamp elI Analytical Inc. CHAIN-OF-CUSTODY RECORD Page l of 1 - <br /> 110 Second Avenue South,4D7 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0208114 <br /> Client <br /> Advanced Geo Environmental, Inc TEL (209)467-1046 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95295 ProlectNo Fisco Ware Hous <br /> PO 08-Aug-02 <br /> Requested Tests <br /> Sample ID ChentSamplD <br /> Matrix Collection Date Bottle SW8015C 80218!8015 SW8260B-I - - -� <br /> 0208114-001 i MW41080702 Water 617102 10 46 00 AM B A C <br /> 0208114-002 MW51080702 Water 817102 10 13 00 AM B A C <br /> 0208114-003 MW71080702 Water 817102 10 34 00 AM B A G <br /> Comments <br /> - — -- -- Date/Time 1 - -�r�Date/Time <br /> Relinquished by Received by <br /> Relinquished by _ _ Received by- <br /> Relinquished <br /> yRelinquished by Received by <br /> I <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to trent or disposed of at client expense <br /> Bottle Type L-Liter V-Voa S-Soli.lar O-Orbe T-Tedlar B-Brass P-Plastic OT-Other <br />
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