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EHD Program Facility Records by Street Name
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2500 – Emergency Response Program
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COEIRX5MW
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Entry Properties
Last modified
11/17/2020 9:54:49 AM
Creation date
6/4/2020 3:48:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COEIRX5MW
PE
2546
STREET_NUMBER
13613
Direction
W
STREET_NAME
BYRON
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
20926020
ENTERED_DATE
10/30/2019 12:00:00 AM
RECEIVED_DATE
10/30/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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ADMIN
Tags
EHD - Public
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Eurof y e94566 estAmerica, Pleasanton Chain of Cusio6y Record <br /> d I IIIA�I II IIII I II II I�1 U III . <br /> ti eurofins Environmen <br /> 1220 Quarry Lane ` 7estAmerrcat Testing <br /> -_ — - _ <br /> Phone:925-484-1919 Fax:925-600-3002 - - — -- --- <br /> Sampler: Lab PM: Carrier Tracking Nolsv COC No. <br /> Client Information (Sub Contract Lab) Hunsinger,Jenna M 720-44799.1 <br /> Client Contact. Phone E-M : StateMOrg�n: Page: <br /> Shipping/Receiving Jenna.hunsinger@testamericainc.com California Page 1 of 1 <br /> Company. Accreditanons Required(See note): Job a. <br /> Enthalpy Analytical LLC NELAP-California;State Program-California 720-96745-1 <br /> Address Due Date Requested: Preservation Codes: <br /> 2323 5th Street. 1/8/2020 Analysis Requested A HCL M Hexane <br /> City TAT Requested(days): <br /> Fi-NaOH N-None <br /> Berkeley t t C-Zn Acetate O-AsNa02 <br /> State LD U US p- D-Nitric Acid P-Na204S <br /> E-NaHSO4 O-N92S03 <br /> 94710 i q H F r <br /> Phone <br /> F-MeOH R-Na2S203 <br /> Phone. PO s. > > > > <br /> o O-AmcMor S-H2SOa <br /> c o <br /> Email t,,,O a. Z p = O ? H-Ascorbic ACM T-TSP Dodecanytlrate <br /> Y x Ice U-Acetone <br /> t g w rn J-DI Water V-MCAA <br /> Protect Name: Pro)ect a z r]1i u p C K-EDTA W-pH 4-5 <br /> R-1036Tracy,CA 72013111 y 1, 'c A EDA Z-othe(specfy) <br /> Site t % <br /> $$OWN'. � � y W O W O v O W p O Other <br /> f reO Z`C 0 Z"O Y <br /> Z _ ,U _ <br /> Mu <br /> <g <go • <br /> Sample <br /> Matrix ; U U x cp�. a <br /> YY+�Y <br /> E <br /> Tyles a..aee. LL U f N x N ]f Y f Z <br /> Sample (C=comp, o-.„wd� II m M m E m I!m"9 M 2 10 <br /> Sam le Identification-Client ID Lab ID Sam le Date Time G=grab) eT-,1—A—) LL y m N te N f H H f° Special Instructions/Note: <br /> Preservation Code: XX <br /> R-1036-SOIL-DISPOSAL-1230(720-96745-1) 12/30/19 11.30 Solid <br /> Pacific X X X X X X 1 <br /> Note:Since laboratory accreditation are subject to change.Eurofins TestAmenca places the ownership of method.analyte 8 accreditacon compliance upon out subcontract laboratories. This same Is shipment is forwarded under chain-of-custody. If the laboratory does not currently <br /> x <br /> maintain accreditation in the State of Origin fisted above for analysislteswrit being analyzed.the samples must be shipped bade to the Euofins TestAmenca laboratory or other instruction will be provided.Any changes to accreditation status should be brought to Eurofins <br /> TestAmenca attention immediatelyif all requested accreditation are current to date,return the signed Chain of Custody attesting to said compl,cance to Eurofins TestAmenca. <br /> Possible Hazard Identification Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> Unconfirmed I =Return To Client =Disposal By Lab Archive For Months <br /> Deliverable Requested.I.Il.III.IV,Other(specify) Primary Deliverable Rank0 Special Instructions/OC Requirements: <br /> Empty Kit Relinquished by: Date: Time: Method of Shipment <br /> Rel i 'shed by. Dat IT Company Recelved by DalerTime -Co <br /> ; <br /> ompan <br /> R d by betel I ime: Company Received by Date/Time Company <br /> ehnqunhed by DaterTime: Company Received by DaterTime Company <br /> Custody Seals Intact: Custody Seal No.: Coder Temperature(s)"C and Other Remarks: <br /> Yes .� No <br /> Page 38 of 49 Ver 01 16 2011/t2ff' 4 <br />
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