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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 RECORD Page: <br /> CA 4 of <br /> V 4 <br /> Alpha Analytical, Inc. WorkOrder : KLF04052205 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL(775)355-1044 FAX:(775)355.0406 j <br /> Client: Report Due By : 5:00 PM On : 28-May-04 <br /> - — — -= <br /> Kleimelder Doun Heard <br /> 2825 Fist Myrtle Street -FAX. (�)9948-06251 J 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 /> ---- -- - <br /> OC Level: 3 = Final Rpt,MBLK,LCS,MS/MSD <br /> - --- - --—- ---- - ---- -- Requested Tests -- <br /> Alpha client Collection No.of Bottles cosawem xofn seicAoeL TPIItE_e Tvlhv_e Yoe a <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS I E T I Sample Remarka <br /> I F0405220531A �Pt, 417SO 05/ 8 1 0 5 �T�"--� <br /> �KLF0405220532A 1 27827-11 It SO 0x 1110 1 0. 5 0, I I ___ <br /> 1 <br /> KLF04052205-33A Composite of I SO 05/19/04 4 0 5 s� lrtus_c Gnsc snrE_c Retain Discrete subjects for <br /> 27830-27827 00:00 <br /> [W64052205-34AA 27835-3ft SO 051/l 04 1 0 5 c- po0entlal future analysis. <br /> -T -i- - -- <br /> KLF040522D5.35A I 27838-6ft I SO 1 05/19/04 1 0 5 G�m^m <br /> (PP4) 11:51 <br /> KLF04052205-366 1 27837-11ftSO 105119/04 1 0 5 rv«m�r <br /> (PP4) 71:57 <br /> KLF04052205-37A 27838-15ft SO 105/19/04 1 0 5 �°� <br /> (PP4) 12:00 <br /> �LF0405?205-38AI 7830 8 TSO 0 01.E T�5� <br /> 27835-25-278lrtw_c GAsc ��po8erroal futureubanalysis. <br /> 278 <br /> KLF04052205-39A! 27940-12ft SO 05/20/04 1 1 1 0 5 HaN <br /> (PP5) 15:42 <br /> Comments: Saturday Delivery Frown ice Retain Discrete subiecl for potential future analysis Most sampling times taken off of containers Samples that were not marked for anavlsis placed on hold Per <br /> Randy tog to as regular TPH/P and TPH/E with total�extractable turned on Split into 2 workorders because of number of samples Kt040 2 4 <br /> S. igoature <br /> Print Name I ---_company_ I. Date/Time -- <br /> - —_ _ 4JlJrI�X"X^�.a aQJI)rCaz,- � " <br /> Recehaedby: _.. _ U- (,(,yI -_ 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(Aclueous) 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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