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COTQBW0JS
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2500 – Emergency Response Program
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COTQBW0JS
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Entry Properties
Last modified
7/25/2022 8:25:36 AM
Creation date
2/8/2019 6:47:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COTQBW0JS
PE
2546
FACILITY_NAME
PGE
STREET_NUMBER
0
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
GALT
Zip
95632
ENTERED_DATE
5/7/2017 12:00:00 AM
SITE_LOCATION
E Liberty and Elliott Rd
RECEIVED_DATE
5/7/2017 12:00:00 AM
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\L\LIBERTY\0\COTQBW0JS.PDF
Tags
EHD - Public
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CASTLE ANALYTICAL LABORATORY fµ-70sp,03 ` <br /> 7osos R CHAIN OF CUSTODY <br /> Location: 2333 Shuttle Drive, Bldg 908/909, Atwater, CA 95301 <br /> Mailing Address:2333 Shuttle Drive,Atwater, CA 95301 Certificate No.2480 <br /> M <br /> 384-2930 - Fax: 209 384-1507 PAGEOF�(�' •�LI O�'� W e "' g REQUESTED ANALYSES Method of ShipmentZIP: TC�ti �t�� A S � �X: (��( Q�jZ iyOa >Uo Notesr m#/Global ID: L�ention: a <br /> � 'a <br /> y y ➢ w F m o w -� O <br /> O O p <br /> Sampler Si naturem <br /> : - - � m w � a o w <br /> S a <br /> Sam ler Printed. 5 <br /> teo — a .o <br /> w <br /> Lab ID# <br /> o v <br /> SAMPLE ID DATE TIME <br /> TIME DESCRIPTION/LOCATION m ~ w <br /> 1 Ot ,� 1 �.Z,C� „1 C)2 pp L OBSERVATIONS/REMARKS <br /> 2 <br /> Si nature Pri'nte,^d�Na+me Date Time Com an Name so.a n n err containers <br /> laboratory <br /> Received by. by: .y�.� p-n I �. <br /> Received by: Turn Around Time: <br /> Relinquished by: Sd�/ W'Ot7 'I"I-C 24 Hour <br /> Received by: 48 Hour 0 <br /> Relinquished by. 3 Day <br /> Received by: 5 Day (Normal),f�, <br /> S pecia <br />
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