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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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JAHANT
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6787
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3000 – Underground Injection Control Program
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PR0518315
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Last modified
2/5/2020 5:32:03 PM
Creation date
2/5/2020 4:20:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3000 – Underground Injection Control Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0518315
PE
3030
FACILITY_ID
FA0013829
FACILITY_NAME
KOOYMAN DAIRY/ LAB CLEAN UP
STREET_NUMBER
6787
Direction
E
STREET_NAME
JAHANT
STREET_TYPE
RD
City
ACAMPO
Zip
95220
CURRENT_STATUS
02
SITE_LOCATION
6787 E JAHANT RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Mccampbell Analytical Inc. RD Page I of 2 <br /> 110 Second Avenue South,#137 CHAIN-OF-CUSTODY RECO <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 <br /> WorkOrder: 0210071 <br /> i <br /> Client: <br /> Ground Zero Analysis, Inc, TEL: (209)838-9888 <br /> 1714 Main Street FAX: (209)838-9883 <br /> TM_ Escalon, CA 95320 ProjectNo: #1479; Kooyman 18-Oct-02 <br /> PO: ' <br /> a Requested Tests - - — - <br /> Sample d] ClientSamplD Matrix -- - „--- - <br /> "� `- 'T �SW7A71B SW8U15C DSWB260l3C' <br /> Collection Date Hold <a� T 60100 �SW6010C SW7010 <br /> 0210071-001 KSDi-3 A p p A <br /> Soil 1011102 ❑ A ..A A <br /> y <br /> F <br /> Comments: STLC cu added 10/18/02 on a Sd TAT er Shawn. <br /> Date/Time <br /> DatelTime <br /> Relinquished by: Received by: <br /> Relinquished by: Received by: <br /> F <br /> Relinquished by: Received by: <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 /> Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br /> ti <br />
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