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VAL DERVIN
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2200 - Hazardous Waste Program
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PR0505919
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COMPLIANCE INFO
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Last modified
11/6/2024 12:58:01 PM
Creation date
3/20/2019 10:35:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0505919
PE
2220
FACILITY_ID
FA0007083
FACILITY_NAME
B & C PAINTING SOLUTIONS INC
STREET_NUMBER
107
STREET_NAME
VAL DERVIN
STREET_TYPE
PKWY
City
STOCKTON
Zip
95206
APN
19337005
CURRENT_STATUS
01
SITE_LOCATION
107 VAL DERVIN PKWY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2220_PR0505919_107 VAL DERVIN_.tif
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EHD - Public
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Billing Information: CHAIN-OF—CUSTODY <br /> y ®CYTS RECORD Page: 9 of 9 <br /> Alpha Analytical, Inc. WorkOrder : G14091128 <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL:(775)355-1044 FAX:(775)355-0406 ReportDue By : 5:00 P On : 18-Sep-14 <br /> Client: Report Attention Phone Number EMail Address <br /> ingenium Jeff Freitas (916)206-9680 x jfrei <br /> tas®pureingenium.com <br /> 893 Ames Ave EDD Required: No <br /> Milpitas,CA 95035 Sampled by:Client <br /> PO: Cooler Temp Samples Received Date Printed <br /> Client's COC#: none Job: B&C Painting Solutions 6 OC 11-Sep-14 11-Sep-14 <br /> QC Level: S3 = Final Rpt,MBLK,LCS,MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No.of Bottles ®sarALs s <br /> Sample ID Sample ID Matrix Date Alpha Sub TAT <br /> Sample Remarks <br /> ING14091128-01A Sand Blast Media SO 09/09/14 1 1 1 0 1 5 Cnhr_n_rr <br /> 00:00 LC <br /> Comments: Sample nicked up by Alpha employee Frozen ice No sampling time provided <br /> /ee Signature Pr Name Company Datemme <br /> Logged in by: /y i(A f -^iJAlpha Analytical,Inc. ! l <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: AQ(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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