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ARCHIVED REPORTS_XR0007352
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545741
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ARCHIVED REPORTS_XR0007352
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Entry Properties
Last modified
6/8/2020 12:53:17 PM
Creation date
6/8/2020 12:35:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007352
RECORD_ID
PR0545741
PE
3528
FACILITY_ID
FA0006284
FACILITY_NAME
YAMADA BROS INC
STREET_NUMBER
15406
Direction
S
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
18917007
CURRENT_STATUS
02
SITE_LOCATION
15406 S TRACY BLVD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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LSauers
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EHD - Public
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Mccalp ell Analytical Inc.P y 110 Second Avenue South,#D7 CHAIN-OF-CUSTODY RECORD Page I of 1 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 WorkOrder 0210002 <br /> Client <br /> Advanced GeoEnvlronmental, Inc TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Yamada Brothers <br /> PO <br /> 01-Oct-02 <br /> — <br /> Requested Tests <br /> Sample ID CllentSamplD Matrix Collection Date Hold 8021BI8015 SW82608 <br /> _J - ---- - - — , -- ss — <br /> .0210002-001 -i R MW1/092702 - Water - 9127102 11 09 00 AM ; - A - B — - <br /> --- <br /> 1-0210002-002 MW21092102_ Water 9127/02 12 08 00 PM <br /> 021000 043 <br /> 2 - <br /> f 2- - MW31092702 —Water - 9127102 11W60_ AMµ [] T A g -- <br /> I <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 atter 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 0-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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