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SU0012852
EnvironmentalHealth
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2600 - Land Use Program
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PA-1900143
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SU0012852
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Entry Properties
Last modified
1/8/2021 11:09:10 AM
Creation date
1/23/2020 10:19:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012852
PE
2632
FACILITY_NAME
PA-1900143
STREET_NUMBER
26901
Direction
S
STREET_NAME
HANSEN
STREET_TYPE
RD
City
TRACY
Zip
95377-
APN
20911010
ENTERED_DATE
1/13/2020 12:00:00 AM
SITE_LOCATION
26901 S HANSEN RD
RECEIVED_DATE
1/8/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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McCampbell Analytical, Inc. CHAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> 1534 Willow Pass Rd <br /> Pittsburg,CA 94565-1701 WorkOrder: 201OC13 ClientCode: KFH QuoteID: 202905 <br /> (925)252-9262 1-1 <br /> WaterTrax ❑WriteOn W EDF L EQuIS ❑Dry-Weight ❑Email ❑HardCopy ❑ThirdParty ❑J-flag <br /> Detection Summary 0 Excel [FormatA] <br /> Report to: Bill to: Requested TAT: 5 days; <br /> Victoria A. Golston Email: vgolston@kleinfelder.com Accounts Payable <br /> Kleinfelder, Inc. cc/3rd Party: jzilles@kleinfelder.com; Kleinfelder, Inc. <br /> 2601 Barrington Court PO: 550 West C Street, Ste. 1200 Date Received. 10/22/2020 <br /> Hayward, CA 94545 Project: 20200630.001A/02-0002; Costco Tracy San Diego, CA 92101 Date Logged. 10/22/2020 <br /> (510)813-2188 FAX: 510-887-5932 Hansen Trailer Yard NL_SS AccountsPayableUS@kleinfelder.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 12 <br /> 201OC13-001 L 26901 Hansen_Waterwell Water 10/22/202015:20 ❑ A D C B A A C <br /> 2010C13-002 TRIP BLANK Water <Not Provided> ❑ A A <br /> Test Legend: <br /> —11 300_1_W2❑ 524_3_504_W 3 AMMONIA_W ®E::� cnsTN_W <br /> 51 PRDisposal Fee 1 ©7— PREDF REPORT 7 TKN_W ®� <br /> 10 11 12 F <br /> Project Manager: Yen Cao Prepared by: Lilly Ortiz <br /> Comments: Include Detection Summary with ESLs for reports. <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 14 of 17 <br />
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