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ARCHIVED REPORTS_XR0006655 CASE 1
Environmental Health - Public
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ARCHIVED REPORTS_XR0006655 CASE 1
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Last modified
7/23/2020 3:26:59 PM
Creation date
7/23/2020 3:20:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006655 CASE 1
RECORD_ID
PR0500097
PE
2950
FACILITY_ID
FA0001329
FACILITY_NAME
PONTES QUICKI KLEEN CAR WASH
STREET_NUMBER
707
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22323013
CURRENT_STATUS
01
SITE_LOCATION
707 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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LSauers
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EHD - Public
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McCampbell Analytical Inc. CHAIN-OF-CUSTODY RECORD Page <br /> ' of ' <br /> 110 Second Avenue South,#D7 <br /> Pacheco,CA 94553-5560 <br /> (925)798 1620 <br /> WorkOrder: 0205118 <br /> Client <br /> Advanced GeoEnvironmental TEL (209)467-1006 <br /> 837 Shaw Road FAX (209)467-1118 <br /> Stockton, CA 95215 ProlectNo Qulcki Kleen <br /> Po 09-May-02 <br /> Requested Tests ��� <br /> Sample ID ChentSamplD Matrix Collection Date BottleSW8015C 8021618015 SW82608 <br /> 0205118-001 MW1/050802 Water 5181021 0000 PM C A -- <br /> 0205118-002 MW2/050802 Water 518102 2 05 00 PM C A B <br /> 0205118-003 MW3/050802 Water 518102 1 3i 00 PM C A B <br /> i <br /> I i <br /> Comments- <br /> Date/rime --- 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 voli be returned to client or disposed of at client expense <br /> Bottle Type L-Liter V-Voa S-Soil Jar O-Orbo T-Tediar B-Brass P-Plastic OT-Other <br />
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