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SU0004126
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QX-91-0005
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SU0004126
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Entry Properties
Last modified
6/27/2024 9:08:38 AM
Creation date
9/4/2019 10:27:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004126
FACILITY_NAME
QX-91-0005
STREET_NUMBER
35656
Direction
S
STREET_NAME
BIRD
STREET_TYPE
RD
City
TRACY
ENTERED_DATE
5/12/2004 12:00:00 AM
SITE_LOCATION
35656 S BIRD RD
RECEIVED_DATE
11/18/1997 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
FilePath
\MIGRATIONS\B\BIRD\35656\QX-91-05\SU0004126\PUB REC REL APPL.PDF
Tags
EHD - Public
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NfiAL CHAIN OF CUSTODY <br /> w'i yA� yam, <br /> Client ; Luhdorff & Sh Lmanini, Consulting Engine TEST DESCRIPTIONS See reverse side for Container, Preservative and Sampling information <br /> Address: 500 First St <br /> rre <br /> Woodland CA 95695 a <br /> Phone (916)661-01091;41in <br /> Fax w e <br /> 3-12023 m <br /> LU <br /> ----- r <br /> Project Name : 0uarterly Wa`Cer Sampling <br /> Contact: person : Liese"S�hadt� w <br /> Purchase order Number: N M <br /> 0q/0C report required: est No �_ � m � Q <br /> 43 � <br /> U <br /> Q <br /> a <br /> 0 �+ <br /> Sampler(s}• R WL1E5� � <br /> o <br /> Comp sampler setupDate:�0////yam Time: _ a m <br /> z <br /> Rush Results due By: C CL <br /> u <br /> Date Received: _/�/� � � `�° o N o <br /> m m <br /> v cM LL�°r o_ <br /> r <br /> Lab 73 <br /> ,r w- � � <br /> 0 a a M f m <br /> Sanp Location/DescriptionDate Time o <br /> Plum Sampled Sampled r r„ <br /> 1 Browns New jr5 i I0 Q p G DW 1,1 <br /> 2 South Tracy Prod Z p-/(- ��� G DW ],1 <br /> 4 Faulkner �Z� G DW 1,1 1 <br /> 5 G DW 1,1 1 <br /> Misc. )totes: 17oh f �nfcGstllytLl T,I( u Relinquished By: Date: Time: Relinquished By: Date: Time: Relinquished By: Date: Time: <br />- ---FinaE-`Sample Dtspostion: <br /> Lab Disposal:_/_/� Returned to Client ecei d by: 1 Da Time: Received by: Date: Time: Received by: Date: Time: <br /> Meth. of Disposal: Date Ret. Jr 1� lUII (,ICj 13 <br /> iIR9late Offices 8 Labara[ory / /v Officei an -10 <br /> d Laboratory Fiefd Office <br /> P.O.Box 272,-853 Corporation Street r 2500 Stagecoach Road Visalia.California <br /> �_ Sarna Paula,CA 93061 0272 Stockton.CA 95215 C; TEL: (209)734-9473 Ci <br />
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