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ARCHIVED REPORTS_XR0008883
Environmental Health - Public
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EHD Program Facility Records by Street Name
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V
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VAN BUREN
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424
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3500 - Local Oversight Program
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PR0545786
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ARCHIVED REPORTS_XR0008883
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Entry Properties
Last modified
6/1/2020 2:34:15 PM
Creation date
6/1/2020 2:07:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008883
RECORD_ID
PR0545786
PE
3526
FACILITY_ID
FA0004969
FACILITY_NAME
CHASE CHEVROLET
STREET_NUMBER
424
Direction
N
STREET_NAME
VAN BUREN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
424 N VAN BUREN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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McCampbell Analytical Inc. CHAIN-OF-CUSTODY RECORD Page 1 of , <br /> 110 Second Avenue South,#117 <br /> Pacheco,CA 94553 5560 <br /> (925)798-1620 <br /> WorkOrder. 0205257 <br /> Client <br /> Advanced Geo Environmental TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProtectNo Chase Van Bure <br /> PO 17-May-02 <br /> Requested Tests <br /> Sample ID ClientSamplD Matrix Collection Date Bottle 80218!8015 <br /> 0205257-001 MW3/051602 Water 5/16/02 2 10 00 PM A — -- - �- <br /> 0205257-002 MW61051602 Water 5/16102 3 36 00 PM A <br /> 0205257-003 MW71051602 Water 5116102 2 58 00 PM A <br /> 0205257-004 MW9/051602 Water 5116102 4 34 00 PM A <br /> Q205257-005 MW10/051602 Water 5116102 2 56 00 PM A <br /> 0205257-006 MW14/051602 Water 5116102 3 13 00 PM A <br /> 0205257-007 MW151051602 Water 5116102 2 35 00 PM A <br /> 0205257-008 MW161051602 Water 5116/02 3 38 00 PM _ A <br /> 0205257-009 MW17/051602 Water 5/16/02 2 1100 PM A <br /> 0205257-010 MW22/051602 Water 5116102 3 46 00 PM A <br /> 0205257-091 MW23/051602 Water 5116102 212 00 PM A <br /> 0205257-012 MW24/051602 Water 5116/02 3 25 00 PM A <br /> Comments <br /> -- DatelTime DatelTame <br /> Relinquished by. Received by <br /> Rehnqutshed by: Received by: <br /> Relinquished by. Received by- <br /> NOTE <br /> yNOTE 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 /> Bottle Type L-Liter V-Voa S-Sod Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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