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2900 - Site Mitigation Program
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PR0524672
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
2/6/2020 10:11:48 AM
Creation date
2/6/2020 8:31:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0524672
PE
2965
FACILITY_ID
FA0016571
FACILITY_NAME
DEUEL VOCATIONAL INSTITUTE
STREET_NUMBER
23500
STREET_NAME
KASSON
STREET_TYPE
RD
City
TRACY
Zip
953049518
APN
23912001
CURRENT_STATUS
01
SITE_LOCATION
23500 KASSON RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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' Chain of Custo ecord page <br /> URS <br /> 'facility Name: Deuel Vocauonal Ynstitute _ ji7yConditionss: <br /> -site Time: o cJ - T �s <br /> Site Name: Sewage Treatment Plant Ponds 11;-siteTime: / G �� Temp: <br /> for California RESD State or Lead Regulatory Agency: RWOCB-Cental Valley Region emorological Events: <br /> Requested Due Date(mm/dd/yy): . t:.t.. rJ ind Speed: Direction: <br /> Lab Name:Curtis and Tompkins,Ltd Facili Address: 23500 Kassen Road reuitant/Contractor: URS <br /> Address:2323 Fifth Street Tracy,California ddress: 2870 GatewayOaks Drive Suite 300 <br /> Berkl ,CA 94710 Site Lat/Lon : N/A Sacramento CA 95833 <br /> Lab PM:Patricia FlynnCalifornia Global ID No.: N/A multant/Contractor Project No.: 17325632 <br /> ele/Fax:510.486.0935/ nfos Project No.: N/A nsuitant/Contractor PM: Vernon Elarth <br /> DrcD Contact: Ti.Ueda Site Desi tion: DVI-STPP ele/Fax: 530.676.6000/530.676.6004 <br /> Address:P.O.Box 989052 hase(WBS: QuarterlyMonitoringn Type& Level: Level 1 with EDF <br /> west Sacramento,CA 95798 ub Phase/Fask: Anal 'cal -mail EDD To: Denise Y Iosco .com <br /> Tele/Fax:916.375.4892/ ask Code: 02004 voice to: URS <br /> Lab Bottle Order No: Matrix #containers w/preservative Requested Analysis <br /> v :: v o ^ •� T N Sample Point Lat/Long and <br /> Item Sample Description B a Laboratory No. $ y $ •F a Comments <br /> No. F D v c o a � <br /> 1 B-DVI-STPP- 400 ` 1 e X 1 1 X X X X X X X Hold e <br /> 2 MW-12 130 X 4 1 3 X X X X X X X I x IL I +3X25DmL I <br /> 3 MW-19 (1.3D X 4 1 3 X XIX X X X X 1xIL I +3x250ml, of <br /> i 4 MW-20 (Z� X 4 1 3 X XIX X X X X lx1L of +3x250ml, of <br /> 5 21 o SX X 4 1 3 X Ax X X X X 1 x IL I +3 It 250mL poly <br /> 6 MW-22 0-$z X 4 1 3 X X I X X X X X l x 1L l +3 x250mL poly <br /> —� 7 MW-23 030 X 4 1 3 X X I X I X XIX X 1xIL l +3 x250mL poly <br /> 8 <br /> 9 <br /> 10 <br /> Sampler's Name: Mike Hall&Jeff Brooks Relio ulshed B /Affiliation Date Time Acce tee B /ABnlatlon nate Ttme <br /> Sam lees Company. URS S <br /> Shipment Data <br /> Shipment Method: <br /> Shi ment Trucking No: <br /> S ectal Instructions: <br /> .[Custody Seals In Place Yes No Ternp Blank Yes No Cooler Temperature on Receipt °F/C Trip Blank Yes No <br />
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