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ARCHIVED REPORTS XR0000205
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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B
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B
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1603
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3500 - Local Oversight Program
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PR0543430
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ARCHIVED REPORTS XR0000205
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Entry Properties
Last modified
2/5/2019 11:15:50 AM
Creation date
2/5/2019 10:30:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000205
RECORD_ID
PR0543430
PE
3528
FACILITY_ID
FA0009377
FACILITY_NAME
CAL TRANS MAINT SHOP 10
STREET_NUMBER
1603
Direction
S
STREET_NAME
B
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16918002
CURRENT_STATUS
02
SITE_LOCATION
1603 S B ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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M IMF <br /> CEDE M I• <br /> Mw I-11111111111'"Advanced Technology FOR LABORATORY USE ONLY <br /> Method of Transport Sample Condition Upon Receipt <br /> Laboratories Batch x D 0 x Walk in ❑ 1 COOLER TEMP C-(26) 5 SEALED Y❑ N❑ <br /> 1514E 33rd Street Couner ❑ 2 CHILLED YM N❑ 6 x OF SPLS MATCH CDC Y4 N❑ <br /> PO# UPS ❑ <br /> Signal Hill,CA 90807 FED EXP ❑ 3 HEADSPACE(VOA) Y❑ N 7 PRESERVED Y❑ N❑ <br /> (310)989-4045•FAX(310)989-4040 Logged By Date Time ATL ❑ 4 CONTAINER INTACT Y N❑ 8 CONTR LOT# <br /> Client GEOCON ENVIRONMENTAL- SACRAMENTO Address 3235 Sunrise Blvd #6 TEL ( 916 ) 852 9118 <br /> Attn 5 i 14 City Rancho Cordova State CA Zip Code 95742 FAX( 916 1 8 5 2 9 13 2 <br /> Project Name Project# Z Sampler rPentedNama) ;Signal <br /> Relinquished by .►n. �r.xsa N.me �. Received tse sK. ��r+.m.1 Date 0 Time $p D <br /> Relinquished 11 i S L 0900 Received t N f .�.-L Date 1 _8_q1,Time o W 0E) <br /> Relinquished by rsgn wr..od Prmw", ) Received y Ispbs., id 4.w )mDate '1 Time <br /> I hereby authorize ATL to perform the work indicated below Send Report To Speaal Instructions/Comments <br /> Unless otherwise Project Mgr/Submdler <br /> requested all e__ p, �+ <br /> samples will be -I- %�Y� � Date D} 1 0,31 �o Co t+ w'�-' / M1.y-24 i_, 4rct <br /> disposed 60 days Pali Name � 69A 40C. <br /> atter receipt Address ��� <br /> _� <br /> gnalure city State Zip Z. r,49-,8rrx- .-t T,2 e <br /> SHIP TO LAB SHIP TO LAB SHIP TO LAB Circle or Add v CIRCLE APPROPRIATE Q A I Q C <br /> (su9 CONTRACT) _ _ (SUB CONTRACT tsus CONTRACT) <br /> _ Analysis(es) oc� m� �_~ MATRIX Z RTNE <br /> TEST TEST TEST Requested y fi �� ' ❑ <br /> ATL o ATL A ATL* 4 C�6`tri m2� C�o� /{, O�Ct a�0�Q fi1fVQCt3 ❑ <br /> DATE DATE DATE (F Fm (3v0U� ° f/ Q wlP El <br /> CLIENT 10 CLIENT I D CLIENT 10 m �D°y `° �v� am"m v =OT (b �� Cc NAVY ❑ <br /> LAB USE ONLY i�~�} � o °�v a� �'� �� `�`� t ) V) CT ❑ <br /> T Sample Description <br /> Container($) <br /> P P d �° c o� o Cdr r o 00 =c' OTHER <br /> Batch# o o`� om tib a `a / o � <br /> Lab No Sample 3 D Date Time �� �ory� �om� p ��� o " e e " °. °� �,� oQ� g S,Q o TAT # Type a REMARKS <br /> 44A 0 <br /> z �g� x41V I, 1A <br /> 4r -2_4 �9 qJ L Jc <br /> NIW - /ate X �� <br /> (3 I <br /> M w - f 3 /omi I I C. <br /> 1W _1 <br /> FpleArchive/Dispos4 Overnight Emergency Critical Urgent Routine I •TAT starts 8am Preservatives <br /> Laboratory standard TA' A= 5 24 hr B. Next workda C=12 Wo-kda s D= 3 Workdays E= Workda s following day h sampkas <br /> Other reserved atter a m fi=Hci N=HNO, S=HzSO. C64 C <br /> ❑ Return To Container Types T=Tube V=VOA L=Leer P=Pmt J--Jar R-Tedlar r G=Giass PmPlastic M=Metal Z=Zn(AC)z O=NaOH T=Nw&a <br /> $10 Do FEE PER HAZARDOUS SAMPLE DISPOSAL DISTRIBUTION White with report Green to organic Yellow to inorganic Pink to Biology Cold to suornitter <br />
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