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SU0011517 SSNL
EnvironmentalHealth
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2600 - Land Use Program
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PA-1700204
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SU0011517 SSNL
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Entry Properties
Last modified
5/7/2020 11:35:13 AM
Creation date
9/6/2019 10:04:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0011517
PE
2631
FACILITY_NAME
PA-1700204
STREET_NUMBER
12685
Direction
S
STREET_NAME
MANTHEY
STREET_TYPE
RD
City
LATHROP
Zip
95330-
APN
19123007
ENTERED_DATE
9/29/2017 12:00:00 AM
SITE_LOCATION
12685 S MANTHEY RD
RECEIVED_DATE
9/28/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MANTHEY\12685\PA-1700204\SU0011517\SS_NL STUDY .PDF
Tags
EHD - Public
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McCampbel Analytical, Inc. CHAIN—OF-CUSTODY RECORD Page 1 of 1 <br /> 1534 Willow Pass Rd <br /> Pittsburg,CA 94565-1701 WorkOrder: 1801090 ClientCode: BMDSF <br /> (925)252-9262 ❑WaterTmx ❑WriteOn ❑EDF E]Excel IF]EQulS ❑Email ❑HardCopy ❑ThirdParty �J-flag <br /> ❑Detection Summary ODry-Weight <br /> Reportto: Bill to: Requested TAT: 5 days; <br /> Tom Moriarty Email: tmoriarty@burnsmcd.com Accounts Payable <br /> Burns&McDonnell cc/3rd Party Burns&McDonnell <br /> 400 Oyster Point Blvd.Ste. 533 PO: 400 Oyster Point Blvd.Ste. 533 Date Received. 01/03/2017 <br /> South San Francisco, CA 94080 Project: Blue Rhino Lathrop South San Francisco, CA Date Logged: 01/03/2018 <br /> (650)871-2926 FAX: supplierinvoices@burnsmcd.com <br /> Requested Tests(See legend below) <br /> Lab ID Client ID Matrix Collection Date Hold 1 2 3 4 5 6 7 8 9 10 11 1 12 <br /> 1801090-001 1 12693 S. Manthey Water 1/3/2018 12:30 1 ❑ A <br /> Test Legend: <br /> rr <br /> I 1524_2BASIC_W I I233 1 1 <br /> I F6-1 I — 8 <br /> I a 11-01 11 12 <br /> Prepared by: Alexandralniguez <br /> Comments: <br /> NOTE: Soil samples are discarded 60 days after results are reported unless other arrangements are made(Water samples are 30 days). <br /> Hazardous samples will be returned to client or disposed of at client expense. <br /> Page 8 of 11 <br />
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