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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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CHAIN OF CUSTODY If ANALYSES REQUEST FORM U o <br /> PROJECT NO.: SECTION NO.: DATE _ SAM' °S INITIALS: — SERIAL NO.: 0155 <br /> 4 PLE COLLECTOR: <br /> 4080 Cavilt St 11men S.Rd.,Suite 100 PR C7 NAME: p ,, SAMP ER(Si9 af�e1 ,r N kj b O O V L O <br /> 14 Granite Bay,Getttamla 95146.9460 K.Sf F� 44 <br /> EYINE•FRICKE (996)786.0320 Fax:(916)768.0366 '(� 4 fKi i7RE.MARKS <br /> SAMPLE ANALYSES <br /> TAT <br /> TYPE i a�'(f 'L Q? l "Metals: <br /> i' �.• :%tip; n� ' cP: <br /> /° S®a� •.5�!�a4`h` °"°�%a°� iid�mo4�i�/\'`v(."��,iV' � {,r i�l ❑ 8260 List CI CAM17 <br /> Q�a oo° / �r,.Q�, `,�aP.'Via?'`e . 5�. i`V J`; Q a�8.•.'I'i ® 8240 List ❑ RCRA <br /> DATE TIME aw5a o°` gii�`®j' ,�4d''�Q'c�°��Q•g.9.@�Y4'i",pUi`S.a`a �lY�'• ,��!.•GV4'�Q^"�°7'�'2� '��0� ❑ 624 List <br /> ® LUFT <br /> SAMPLE ID. <br /> g S� urz <br /> I � � ' r -ij�A03 . <br /> r <br /> � - 4 0 1 k� � Yesut•l-S <br /> -0® <br /> P _p - - — <br /> .p1v 2 iv fPo 09 ° <br /> rpt-Z - <br /> p --p - f a• ®• q <br /> Q)V <br /> ZI -D -00 o8 3 <br /> 21 -01- 100 <br /> 1 --a -Cc ® S 3 <br /> L2� 2 - 2- 10 <br /> 1 Oo 0 °3 <br /> PSf- 3- 1p1b P2-1 ~ 08 <br /> 21 d10' .2 RELINQUISHED DY: 3 <br /> SAMPLE RECEIPT•. CwMr Tempi METH DRF�9HI ENT: U EY: <br /> tt r®AO -Nei BrATE} 111G�aATUA9 <br /> Owed OcOld .. LAS REPORTND.: <br /> OD®Ic, OAmb[enl cooro+No: tslD Epi 5CY1' iY rvas+sa IM) <br /> TiWE} . <br /> ( (ME) (PAINTEDNAMM (TIME) (PRINTED NAME] I <br /> FAX COCCONFIRMATIONTO: (PRINTED NAME) ' <br /> (COMPANY} <br /> Oy., Wa Oa ad7ON 1�sj °�" (COMPAN (COMPANv) <br /> ®Yn ONO ❑WA 7 RECEIVED BY ILASORATORYJo 3 , <br /> RE t DEC }(�d 1»Q <br /> AMALYncALLARaAATDRY: FA Esu` s %0—do>� ( ---�6t A f" <br /> lAA (DA IG ( AT ) st ATUREp <br /> 3 HAROG PY YO: TJR p _ <br /> E) "® TIME} <br /> qr t � (' IME PAINTED NAME) �1 (PRINTED NAME} ( <br /> $EN✓✓D EOD TO: (PRINTED NAME) C( t ( .p.•ry �T o p M <br /> EMY.LA®EDDS.COM a .-�•+'``A-- f C✓- ®1 (0®M ANY) F, <br /> (COMPANY) (COMPANY) o <br /> CNAtN CP CUSdOOY•ANA4YSE5 EORM.COR SP2oD5 y. <br /> FIle Copy(Yellow) <br /> Field Copy(Pink) m <br />
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