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ARCHIVED REPORTS XR0011651
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0521409
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ARCHIVED REPORTS XR0011651
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Entry Properties
Last modified
6/20/2019 1:45:59 PM
Creation date
6/20/2019 11:45:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011651
RECORD_ID
PR0521409
PE
2950
FACILITY_ID
FA0014531
FACILITY_NAME
PLYMOUTH ROAD STORM DRAIN PROJECT
STREET_NUMBER
0
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
0 COUNTRY CLUB BLVD
QC Status
Approved
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EHD - Public
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m m 1♦ <br /> Billing Informatt <br /> CHAIN-OF-CUSTODY RECORDCA Page <br /> z of 2 <br /> Alpha Analytical, Inc. WorkOrder : KLF03041422 <br /> 255 Glendale Avenue Suite 21 Sparks Nevada 89431 5778 <br /> Client TEL (775)355-1044 FAX (775)355-0406 Report Due By 5 00 PM On 18-Apr-03 <br /> Kleinfelder Douo Heard <br /> 2825 East Myrtle Street TEL EDD Requited No <br /> FAX (209)948-0621 <br /> Stockton CA 95205 Job 286991 CC Trunk Sewer Sampled by Client <br /> Report Attention Doug Heard PO Clients COC# 2361 Cooler TLmp k °C l <br /> CC Report 4-Apr-63 <br /> QC Level 3 = Final Rpt M61-K, LCS MS/MSD <br /> Requested Tests <br /> Alpha Client Collection No of Bottles METALS_A METALS_5 TPHIE TPHIE_W TPHlP S TPHIP W VOC_S VOC W <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# o o - - <br /> ____ _ _ Sample Remarks <br /> KLF03041422 11A 27182 GP4 AQ 04/10/03 6 0 - 4 TI T.W Pb <br /> GA- <br /> S CAL 8260 C, <br /> 0000 50— <br /> KLF03041422-12A 27184 GP5 AQ 04/10103 6 0 4 I Tour Pb GAS-CAL 9260 <br /> 0000 nary <br /> KLF03041422 13A, 27186 GP6 AQ 04/10/03 6 0 i 4 € ToW Pb GAS CAL 9260(, - <br /> _ <br /> 0000 50xy' <br /> -K—LF-6041422-14A 27188 GP7 AQ 04/10/03 6 0 4 — Toial Pb --- - - <br /> GAS CAL 8360 (', <br /> 0000 Sar, <br /> Comments Security seals intact ice frozen California sam Ics No sam lin time reported on an of(he samples Saturdaydelivery,samples.kept at 4 C in secured area until to �d m All analysis will be <br /> done in house <br /> Signature Si <br /> g _ Print NameL ' <br /> Company / Datc/Time <br /> Received by _-_ �ji � - _�� �(�� ]ry �_ -� - —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 1:ability of the laboratory is limited to the amount paid for the report <br /> Matrix Type AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Drinkmg 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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