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3500 - Local Oversight Program
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PR0545598
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Last modified
3/23/2020 4:02:12 PM
Creation date
3/23/2020 3:53:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545598
PE
3528
FACILITY_ID
FA0001304
FACILITY_NAME
STOCKTON SCAVENGERS ASSOCIATION
STREET_NUMBER
1240
STREET_NAME
NAVY
STREET_TYPE
DR
City
STOCKTON
Zip
95206
CURRENT_STATUS
02
SITE_LOCATION
1240 NAVY DR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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r r t r i t t r r t t r t t r t <br /> CHAIN OF CUSTODY C- C� OPage _ of <br /> Lab: CLS <br /> 3249 Fitzgerald Road <br /> Rancho Cordova, CA 95742 <br /> Report results to: <br /> Name Chris Drabandt Project Information <br /> Company AECOM Site Address: Stockton Scavenger, 1240 Navy Drive, Stockton, CA <br /> Mailing Address 10461 Old Placerville Road, Suite 170 AECOM No. 60157454.3 <br /> City, State, Zip Sacramento, CA 95691 <br /> Telephone:No. 916-361-6410 <br /> Fax No. 916-361-6401 Anal ses Requested <br /> Email chris.drabandt(aD-aecom.com <br /> LO to <br /> Special instructions and/or specific regulatory requirements: 00S m <br /> Composite all samples (5:1); 24-hour TAT N <br /> C z <br /> Date Time Matnx/. No,of ; a a , ca Sample Condition/Comments <br /> Sample Identification `Sampled. Sampled Media = d n"is... — R m a <br /> Decom-1 26-Jul-10 131 Soil 1 X X X X Composite at lab NA <br /> Decom-3 26-Jul-10 3/ tS Soil 1. X X X X Composite at lab NA <br /> Decom-4 26-Jul-10 13 ZZ Soil 1 X X X X Composite at lab NA <br /> Decom-5 26-Jul-10 137-4- Soil 1 X X X X Composite at lab NA <br /> Decom-6 26-Jul-10 �3 3 C) Soil 1 X X X X Composite at lab NA <br /> Collected by: Ch is Draba t Datefrime T/u/ 10 -S Collector's Signature: Date/Time 7tlZ6 r _ <br /> Relinquished by: Date/Time 7V Z'1'/V' ILlS5 Received by. _;oh/Z .3*LDate/Time 7-Z6-w <br /> Relinquished by. Date/Time Received by. Date/Time <br /> Relinquished by. Date/Time Received by: Date/Time <br /> Method of Shipment: Sample Condition on Rcpt: <br />
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