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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0522015
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Entry Properties
Last modified
2/6/2019 10:01:00 AM
Creation date
2/6/2019 9:56:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0522015
PE
2950
FACILITY_ID
FA0015207
FACILITY_NAME
SJC MOSQUITO & VECTOR CONTROL DIST
STREET_NUMBER
200
Direction
N
STREET_NAME
BECKMAN
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04905031
CURRENT_STATUS
01
SITE_LOCATION
200 N BECKMAN RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
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EHD - Public
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Billing 1nfortna"°" CHAIN—OF—CUSTODY RECORD CA Gf Page: <br /> , <br /> Alpha Analytical, Inc. WorkOrder : KLF03110342 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL:(775)355-1044 FAX:(775)355-0406 Report Due JBy : S:00 PM iO : 07(-Nov-03 <br /> Client: - . _ _. <br /> Kleinfelder Doug Heard <br /> 282.5 East Myrtle Street TEL: (209)948-1345 EDD Required : No <br /> FAX: (209)948-0621 <br /> - Sampled by:Francis S.Bean/5394 <br /> Stockton,CA 95205 Job: 36274/SJCM+VCD <br /> Report Attention: Doug Heard PO: Client's COC#: 2589 Cooler Temp: 4°C 03-Nov-113 <br /> CC Report: <br /> &evel: 3 = Final Rpt,MBLK,LCS,MS/MSD <br /> Requested Tests <br /> Alpha Client Collection No.of Bottles eiat_s TPH1E-s TPH/P_s voc_s <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# _ Sample Remarks <br /> KLF031110312 1 A28888-DB2- 50 10/30/03 1 0 4 TPH/a C BTXVGAS_ BTXFJGAS_ i <br /> 30ft. I 09:04 Gsoz}z Gsozys <br /> KLF03110312-02A :1.11 1111 50 10/30/03 1 0 4 TPxre_c BrxarcAs_ BrxFJcns_ <br /> 40ft. 09:47 Gsozys Gsozn I <br /> KLF03110342- 13A 28892-DB2- SO 10/30/03 1 0 4 rPe�_C erxFJCAs-BrnBrcns_ <br /> —. <br /> 50ft. 10:11 Gs°zsa Gsozya <br /> —__ _—__—._ __— -- <br /> -- TPFI/E_C BTXE/GAS_ BTXE/GAS—__- —._---_ <br /> KLF03110342-04A 25ry93-D83- 1 SO 10/'03003 1 0 v Gsozn Gsozy, <br /> _I <br /> -- - - TPHf C BTXFJGAS_ BTXFIGAS_ <br /> KLF03110342-05A�30ft96-D83- l SO 10/2004] 1 0 4 Gsozn C/sazys <br /> KLF03110342-06A 28 97-C7-3ft. SO 10/30/03 0 1 9 8141 1. -8141-NOC. <br /> 12:26 <br /> iii 1 KLF03110342-07A 28898-C8-3ft. 150 10/30/03 0 1 9 8141 i 8141-NOC. <br /> 12:34 - - - - - <br /> 3110342-08A 28899-C9-3ft. SO 10/30/03 0 1 9 8141 8141-NOC. <br /> T------I----- 1-2:482:46--I------- ' <br /> Comments: Custody seal Frozen ice.CA samples.Samples received aturdav 11/1/03 samples kept cold&secu a until log-in Monday 11/3103 8141 subbed to NOC on 9 day TAT-due 11/14/03 per cleint info <br /> screen.: <br /> Signature Print Name Company DatefTime <br /> {� Alpha Analytical,Inc. t i �7 lv 2, <br /> Ri ceived by: !/-.>� '.T` -f - <br /> NOTE: 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 /> The report for the analysis of the above samples is applicable only to those samples received by the laboratory with this COC.The liability of the laboratory is limited to the amount paid for the report. <br /> Matrix Type: AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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