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CO0046832
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2500 – Emergency Response Program
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CO0046832
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Entry Properties
Last modified
11/15/2022 9:58:50 AM
Creation date
4/26/2019 10:19:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0046832
PE
2546
STREET_NUMBER
6440
STREET_NAME
AVIATION
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
17745023
ENTERED_DATE
6/5/2018 12:00:00 AM
SITE_LOCATION
6440 AVIATION DR
RECEIVED_DATE
6/5/2018 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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ADMIN
Tags
EHD - Public
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CASTLE ANALYTICAL LABORATORY U-- <br /> q4--00CHAIN OF CUSTODY <br /> N-�s0�1�3L? <br /> Location: 2333 Shuttle Drive, Bldg 908/909, Atwater, CA 95301 Certificate No.2480 (o v <br /> Mailing Address:2333 Shuttle Drive,Atwater, CA 95301 PAGE OF_ <br /> Phone: 209 38 -293 - Fax: 209 384-1507 <br /> Customer: 'I & ^o REQUESTED ANALYSES Method of Shipment: <br /> Address: W CS`T— _ fi <br /> o o u_ o <br /> CD <br /> City/State/ZIP: STS t '—` LUu, N z Notes: <br /> o n °D <br /> Phone/ FAX: —4--f — <br /> Proj#/ PO#/Global ID: I C40a a > w o <br /> -6 o <br /> Report Attention: 2 < < o o w <br /> Sampler Si nature: a Q m a w a CO <br /> E 2 _ o <br /> Sampler Printed: x o v z <br /> o F � w <br /> Lab ID# SAMPLE ID DATE TIME DESCRIPTION/LOCATION m OBSERVATIONS/REMARKS <br /> �'A71 Dk-') CO5 t bZ C�A L <br /> g-1 I OGS 0-?- <br /> rotal number o con finers <br /> Signature Printed Name Date Time Co any Name submitted to the laboratory <br /> Relinquished by: — Turn Around Time: <br /> Received by: All / 24 Hour El <br /> Relinquished by: V 48 Hour 0 <br /> Received by: 3 Day <br /> Relinquished by: 5 Day (Normal) 0 <br /> eceived hy: Special:P6Ljyt: <br />
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