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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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r r r r r r r <br /> Billing information: CHAIN-OF-CUSTODY RECORD CA Page: <br /> V <br /> 2of4 <br /> Alpha Analytical, Inc. WorkOrder : KLF04052205 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> Client <br /> TEL:(n5)355-1944 FAX-(775)355-04M Report Due By : 5:00 PM On : 28-May-04 <br /> 04 <br /> I <br /> Kleinfelder Douc Heard <br /> 2825 East Myrtle Street TEL: (209)948-1345 <br /> FAX: (209)948-0621 <br /> EDD Required : No <br /> Stockton,CA 95205 Job: 44843/Mtn House Sampled by:CC 6238 <br /> Report Attention: Doug Heard PO: Client's COC#: 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 /> RequestedTeafa <br /> Alpha Client Collection No.of Bottles oowPEoar HOLD attxAoET Trrut<_s 1'PIW_s voe a <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PINS# S Sample Remarks <br /> KLF04052205-11AI (13138) 15ft SO 0 13 354 1 0 5 c�a <br /> KLF0405220S12A C� w� amce — �eailp�a� 009P eMial future analysis. <br /> KLF04052205-13A 27831-aft SO 05/19/04 1 0 5 ca,opwae <br /> (p 9) <br /> 10:25 <br /> rKLF04052205-14AT (PPS)-6ft SO 0 0>� 1 0 5 � <br /> KLF04052205.15A I 27833-11ft SO 05/19/04 1 0 5 cvna,;r. <br /> (PP9) 10:32 <br /> KLF04OU205-ISA 27834-15ft SO 1 05/19/04 1 1 1 0 1 5 1 �^vya <br /> (PP9) 10:34 <br /> KLF04057205.17A Composite of SO 1 05/19/04 4 0 5 N TetuE_c pwsc atxE_c Retain Discrete subjects for <br /> 27831-27834 OO.00a—w <br /> [KLF04052205-18A 2771)-aft SO 0 1.9/04 1 0 5 �,m�u�� —Ii _PolleMial future analysis. <br /> 10 <br /> KLF04052205-19A 27819-7ft SO 05/19/04 1 0 5 Gaw�u <br /> (PPI) 109:20 <br /> f KLF04052205-20A' 27820-1lft—I S l 0`19/04 1 0 5 <br /> 7P <br /> Comments: Saturday Delivery. Frozen ice Retain 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 login as regular TPWP and TPN/E with total:extractable turned on Split into 2 workorders because of number of samples KLF04052204 <br /> Signettrre I Print Name , company <br /> Received by: �(r�L 1�tll,U� � 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 /> 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(Ddnking 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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