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3500 - Local Oversight Program
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PR0545667
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Last modified
5/12/2020 4:49:06 PM
Creation date
5/12/2020 4:11:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545667
PE
3528
FACILITY_ID
FA0003947
FACILITY_NAME
COS ROYAL OAKS STORM PUMP
STREET_NUMBER
0
STREET_NAME
ROYAL OAKS
STREET_TYPE
DR
City
STOCKTON
Zip
95209
APN
07228027
CURRENT_STATUS
02
SITE_LOCATION
ROYAL OAKS DR
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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SEQUOIA ANALYTICAL )4680 Chesapeake Drive • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364-9233 <br /> ❑ 819 Striker Ave., Suite 8• Sacramento, CA 95834 • (916) 921-9600 FAX (9 16) 921-0100 <br /> WO CHAIN OF CUSTODY ' U 404 N.Wiget Lane•Walnut Creek, CA 94598 • (925) 98B-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> Company Name: L So` Project Name: ,���r, 2a a1 kS E,2 7 y•mo <br /> Mailing Address: J%M ��� p��� �• s�� g Billing Address (if different): n <br /> City: Yom► ,s�e State: Zip Code:c, S3 S i �� 9. l 1 C 2 s J. <br /> Telephone: 7.6c}, 4&-pl. ZZZ FAX #: Zdcj, 5 , 222 S P0.#: <br /> Report To: Sampler: <br /> Rep '�"�' [r QC Data: baevel D (Standard) 0 Level C ❑ Level B ❑ Level A <br /> �<.w�n.t .1w SC �1'W�C1y� <br /> Turnaround 1*10 Working Days U 3 Working Days ❑2-8 Hours ❑Drinking Water Analyses Requested <br /> Time: 7 Working Days U 2 Working Days ❑Waste Water <br /> Worki g Days ❑24 Hours ❑Other ti <br /> Flo <br /> Client J Date/Time Matrix # of Cont. Sequoia's Comments <br />- _ Sample I.D. Sampled Desc. Cont. Type Sample# <br /> oSoy49 Z.Y�-.10,50856 <br /> c <br /> i. �Zo-56i-35.5. . v�.3L a 5085 X k' s-.6 . TAr 0 , <br /> oa- S ,,A MTV, � <br /> �r,t� - Cr <br /> 2. -SS 11- 5•S :s1 So,f 4 50855 ) <br /> � KgvG.n tL. <br /> 3. RO-S${- 570*5' •.03 $a• �( o <br /> 4.f?0-s$z- 3 s•5 - z 3a se, 1 9 5085'7 X X <br /> 5.ua-SBz-►gas' z ';9 ro.� I 050858 x <br /> 6. _9050859- <br /> 7.Rp SWS-tie's 050860 x X o <br /> 0 <br /> m <br /> 8. cn <br /> o564 99 1 050861 <br /> -F <br /> ia. <br /> Relinquished By: ', es=/ '?� Time:/6•Q6 Received Bt. Date,-(/0'f/P Tim%-'OC <br /> Relinquished By: x.271 Date: .5'�U j Time: Z a Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By Lab: Date. 0 Time: <br /> Were Samples Received in Good Condition? U Yes U No Samples on Ice? U Yes ❑ No Meth d of Shipment Page of <br />
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