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CO0020059
EnvironmentalHealth
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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: CHAIN-OF-CUSTODY RECORDn Page. <br /> 1 of 4 <br /> Alpha Analytical, Inc. WorkOrder : KLF04052205 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> Client: <br /> TRI-(775)355-1044 FAX:(775)355-0406 Report Due By : 5:00 PM On : 28-May-04 <br /> - <br /> Kleinfelder Doun Heard <br /> 2825 East Myrtle Street TEL: (209)948-1345 <br /> EDD Required : No <br /> FAX: (209)948-0621—i <br /> Stockton,CA 95205 Job: 44843/Min House <br /> Sampled by:CC 6238 <br /> Report Attention: Doug Heard PO: CIIenPs COC M: 17817,17818,17919,17820, Cooler Temp: 4"C 22-May-04 <br /> CC Report: <br /> OC Level: 3 = Final Rpt,MBLK,LCS, MS/MSD <br /> -- RequesUtl Teals - J <br /> Alpha Client Collection No.of Bottles tbarosm f10LD sa.RAaEL TrmE_s TPKIP—a VDC-e l <br /> E <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS! Sample Remarks <br /> KLF04052205-01A (PPS) '2ft SO O 14:50 1 0 5 ate^ <br /> KLF04052205-MA (PP86-18hCt-FIT 5 caw^ <br /> KLF04052205-03A 1 27577-20h SO 05/20/04 1 0 5 NwaYra <br /> (PP8) 15:00 <br /> rKLF04 M05-WI 277P 8-24ft SO 0.5/20/04 1 0 <br /> KLF04052205-OSA Composite of SO 05/20/04 4 0 5 sa:,a.1revue c c,�s.c a1>�c Retain Discrete subjects for <br /> 27575-27578 00:00 °roup <br /> po8entialfuture analysis. <br /> KLF040522054M 27845-11ft SO 05/19/04 1 0 5 sou <br /> (P P7)5-1 <br /> 13:00 <br /> KLF04052205-07A 2784615ft SO 05/19/04 1 0 5 aau <br /> (PP7) 13:05 ___ _ <br /> �K1F04052205-OBA! (PPB) �OIOS/32/04�7 0 <br /> KLF04052205-09A 27848 7f SO 05/19/04 1 1 0 5 aurpo.sa T <br /> (PP8) 1 13:27 <br /> KLF04052205-10A�P;-10ft TO 05/3 304 ` 1 -T 0 5 p,mo <br /> cnumews: Saturday Delivery. Frozen iceRetain Discrete subject for potential future analysis Most sampling times taken off of containers Samples that were not marked for anaylsis placed on hold Per <br /> Randy toe in as reaular TPH/P and TPH/E with total�extractable turned on Split into 2 workorders because of number of samples KLF04052204 <br /> Signature_�/—v1 Company � Date/I1me <br /> Received by: _ f(L�Ylpl Alpha Analytical,Inc. CJtbi4 /a <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: AO(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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