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COMPLIANCE INFO PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0514068
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COMPLIANCE INFO PRE 2019
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Entry Properties
Last modified
8/6/2019 10:10:59 PM
Creation date
8/6/2019 12:00:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514068
PE
2227
FACILITY_ID
FA0009865
FACILITY_NAME
KIA COUNTRY
STREET_NUMBER
1515
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21619005
CURRENT_STATUS
01
SITE_LOCATION
1515 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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�oqGeneral COC MAI Work Order It (_0 <br /> O® McCAMPBELL ANALYTI CHAIN OF CUSTODY RECORD <br /> W 1534 Willasr Pass Rd.Piusburg.Co.94565-1701 two Arourxl time Day Rush 2 Day Runhj 13 My Rus1d • 15'11) Quote k <br /> © <br /> Telephone:(8771252-9262/I'm:(M)252-9269 1FIae/MCI. • FSI. 1 Cleanup Appmed I 113oule Order fl <br /> L—mceamobclI com main(RImccamobell.cont Iklivm l'pmm'. PDFI GmTmeka[I)F IiDD Wntc On(DWI F.Qult <br /> Repos To:Common aleck Bill To:Safely-ween Solids Analysis Requested <br /> Company:safety Neen Systems u <br /> o <br /> Email:daamooblackliltaafetyAleen.com I o- < - it <br /> Alt Email Tele:209-595-31¢2 = c ° F t e a :°g <br /> m ;? <br /> Project Ni e:tok Country Sump Water project 111 � _ � .9 <br /> Project Location:M.I.ca PO k <br /> Sampler Signature: a e u g a E 2 e a k �, 2 8 e <br /> tg z do 6 7 ? a m <br /> SAMPLE ID Sampling c R c a e m g R E ? i <br /> g Matrix Pr<snarive i S a o a i s Q in <br /> in $ p tl - - ,a <br /> Location/Field Point ` - = 0 a a 9 _ <br /> note Time <br /> Separator Sump Water 9/12/18 1230 1 WN 7 <br /> MAI<heml.MusrmwiiK ml% sarmxeb<nlmrna,.@<,,.<almer�h�rmer rla xa.<wm rir.>mq<hrnaua@ey MAl sort <br /> Nmrdixlmme iiwvsm tenniaia<s3msumMpand�Re dirnurwbjM to sal wynl liehililp6x luvm adf ed lLmt pau ra ymu uMvamMin@and fa mllmin@wm xmk ofd>. <br /> •If annals urc tA,esl d fan,uter mmples vW rhe,vow qpe(Matrix)6 not specified on Ne chain d'cuski MAI rill ildmIL to meets by 1300.8. Commenu/Imwainam <br /> Plswc,suAdcnaodegamevAumeofsmplewime volume is wt ru0lcient for.M&MSD a lkS r!iD•.ill is pepur l in its pla<e aaa Amex!in Ore r<pan. please retain sample for <br /> Relinquished fly/Company Nomc ontc I Time hewed ay/Company Name ome Time further possible testing. <br /> -p'2-IYoloo Report In/w <br /> 71-4 32 -6350- 3 zS3 -f ri uz5 <br /> Matrix Code:DW=Drinking Water,GW=Ground Water.W W= este Water,SW-Scrosvmer. SL-- oil. e,A-Air,Wit Wipe,O=Other <br /> Preservative Code: l-4aC 2=HCI 3-H:SO4 4=HNOs 5=NaOH 6=ZnOA[MaOH 7=None Temp aC Initials <br /> Page_ of <br /> Page 19 of 20 <br />
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