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PR0535342
EnvironmentalHealth
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4700 - Waste Tire Program
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PR0535342
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PR0535342
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Entry Properties
Last modified
7/29/2020 5:32:38 PM
Creation date
7/22/2020 8:36:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4700 - Waste Tire Program
RECORD_ID
PR0535342
PE
4740
FACILITY_ID
FA0020390
FACILITY_NAME
RENEWED RESOURCES CORP
STREET_NUMBER
29425
Direction
S
STREET_NAME
MACARTHUR
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
25312026
CURRENT_STATUS
02
SITE_LOCATION
29425 S MACARTHUR RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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w _ <br /> N CHAIN OF CUSTODY / ANALYSES REQUEST FORM <br /> tD 1MPLE COLLECTOR: PROJECTNO.: SECTION ND.: - DATE: <br /> � SAMPLER'S INIT7.QL SERIAL NO.: <br /> ry 4080 to Ba , allman California Rd., -946 WO OZ$ (7t7 p 5 1D ltlr p j �J <br /> Granite Bay,'0Fax: 16 786-0366 PROJECT NAME: � � ? SAMPLER(Signa( N® 101576 <br /> .EVIxE•FRICXe . gtg 7Bg.0320 Pax: 918 786-b368 �- � L <br /> SAMPLE <br /> ANALYSES REMARKS <br /> D ef' TYPE ^;\ �y, d'� artsla� TAT 'VOCs: "Mel <br /> ® 8260 ust El cAl <br /> ® SaFQ ��oe &` eP @P `P °\4 y�r(p \ � " r7 as ❑ 8240 List ® RCRA <br /> Sample ID. Date Time vaO ao• 50 �a` �Q� �Q� �� ,flc �a>e� � {n�(/ oa y� o ❑ 8010 ust ❑ LU <br /> ❑ 624 List <br /> S EcS`A - DZ -an b <br /> DDA-'! T <br /> 0� -OL7FIN3 K K K <br /> r^r ~' 03--oG V511 <br /> X <br /> tc x <br /> —00 <br /> g x X; 7k 'tF= 114 <br /> D5 -dam b3 3 x n <br /> sA o -oo <br /> X (9tto T8� 1 S�ll <br /> .� ®8-d0 3 3 X IC jC 16 7�f Ca J <br /> aA-- OB--04p 3 yp r <br /> Egli o -Oa Do 3 <br /> x x x <br /> APLE RECEIPT: Cooler Temp: METHOD OF SHIPMENT; RELIN I HED BY: a 7 RELINQUISHED BY: <br /> intact <br /> LlV 2 RELINQUISHED BY: <br /> Cola Cooler No: LAS REPORT NO.: (B . ' (DATE) (SIGNATURE) DATE; <br /> On Ice ❑ Ambient >�W'ey` (DS (SIGNATURE) <br /> lerva5y¢CorlI�1 FAX COO CONFIRMATION TO: (PRINTED NAMEF_ (TIME) (PRINTED NAME <br /> Y2 ❑ NO El I Sic 2 ) {TIME) {PRINTED NAME) (TIME) <br /> V COMPANY <br /> ILY7ICAL LABORATORY: FAX�'SOGLT � COMP RECEIVED BY: COMPAM <br /> , 9 RECEIVED BY: <br /> 11�� 2 RECEIVE { TO <br /> v <br /> J / ✓ T<i. SEND HAR�r.DCOPY TO�'. (SIGNATURE} (DATE) (SIGNATURE) iDATE) (SIGNATU E) <br /> SEND EDD TO: {PRINTEDNAME) (TIME) (PRINTED NAME) (TIME) (PRINT <br /> EWLABEDDS.COM 7 (P } <br /> m lShipp�nq_ o�y_ �V3»tS� g File Cggy {y 7 w ��®OMPAN�la COpy tP®k1 COMPANY ueoRAr RY <br /> w -C "'Gf Lj,t i-, J a� y 16' &'� FORM NO: 200 VCOC/SXS <br />
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