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CO0020059
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2500 – Emergency Response Program
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CO0020059
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Entry Properties
Last modified
5/14/2019 10:35:10 AM
Creation date
2/22/2019 8:47:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0020059
PE
2546
STREET_NUMBER
23577
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
TRACY
Zip
95391
ENTERED_DATE
12/5/2003 12:00:00 AM
SITE_LOCATION
23577 MOUNTAIN HOUSE PARKWAY
RECEIVED_DATE
12/4/2003 12:00:00 AM
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS4\M\MOUNTAIN HOUSE\23577\CO0020059.PDF
Tags
EHD - Public
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Billing Information f: l l I I I I l I I r /-�/� ME'V`L*,D l l <br /> CHAIN-OF-CUSTODY RECORD C V ! Page, <br /> 2at4 <br /> Alpha Analytical, Inc. WorkOrder : KLF04052205 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> Client: <br /> TEL(775)355-1044 i:AX:(;;3135;-0496 Report Dine By : 5:00 PM On : 28-May-04 <br /> - - - -- <br /> Klelnfelder Doua Heard <br /> 2025 East Myrtle Street TEL: (209)948-1345 <br /> , <br /> FAX: (209)948-0621 ' <br /> EDD Required : No <br /> Stockton,CA 95205 Job: 44843/Mtn House <br /> Sampled by:CC 6238 <br /> Report?.ttc;:ion: Drug Heard ,^O: Client's COC#: '7817,17818,17919,17820, Cada Temp: C 26-May-04 <br /> Report: <br /> OC Level: 0 = Final Rpt,MBLK,LCS,MS/MSD - r <br /> _Requested Teats --- <br /> Alpha Clieri Collectlo,i No.of Bottles c %-TOSiT -HOLc Vt l rAGEL' TWE_s ren/v_s boc_s - - <br /> SarEple IC Samp's!D Matrix Date ORG SUB TAT PWS# - Sample Rengark. <br /> IKLF04052205-11A. 27850-15ft SO 05/19/04 1 L--O 5 - t'^^W°F"° I - T----Ir— --- --- -- - - - -- -1 <br /> Comp 27840 00'00 - �_-_ - Ltivap <br /> KLF04052205-12A Composite of SO 05/19/04 4 0 5 saa.al�i'�uE c an., snaa_c Retain Discrete subjects for <br /> KLF04052205.13A 27831-3ft ISO 05/19/04 1 0 5 I rnapo.a- Potiential future analysis. <br /> (PP9). 10:25 <br /> KLF046_wk!-14Ai 27w Eft SO 01/02/94 _ 0 5T�,�,.a. i __-__---- <br /> KLF04052205-15AI 27M3-1 1ft SO 105/109 1 0 5 N^a�^^• <br /> KLF04052205-16A 27834-1511t SO 1 05/19/04 1 1 1 0 1 5 1 1 Qiwp <br /> (PP9) i 10:34 <br /> KLF04052205-17A Composite of SO 05/19/04 4 0 5 rrr#E c naso tnzm_c Retain Discrete subjects for <br /> 27831-27834 00:00 <br /> rKLF0405220.5.1�SPP- aft 1SO 00990 -F1 0 5 '111111 future analysts. <br /> KLF04052205-19A 27819-7ft SO 05/19/04 I 1 1 0 1 5 1 c^^R^+ta <br /> (PP 1) 09:20 <br /> KLF04052205-20Ai1 �PP1) 11ft SO 0509930 ��� <br /> comments, Saturday Delivery. Frown ice Retain Discrete subject for potential future analysis Most sampling times taken off of containers amolm that were not marked for anayls_s placed on hold. Per <br /> Randy login as regular TPH/P and TPWE with total,extractable turned on Split into 2 workorders because of number of samples. KI XM 52204 Amended 524/04 run btex Ipl��, ab on <br /> samples 04.27 and then composite per Doug. LL Amended 526/04 per Doug run additional samples See Workorder info <br /> Signature Print Name -- Company Date/rime <br /> _. _. - <br /> Received by: _ Alpha Analytical,Inc. <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 /> Tt-a 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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