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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0540433
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Last modified
7/27/2020 9:10:25 PM
Creation date
7/27/2020 4:03:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0540433
PE
2953
FACILITY_ID
FA0023104
FACILITY_NAME
FORMER MANTECA POLICE FIRING RANGE
STREET_NUMBER
2516
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
24131044
CURRENT_STATUS
01
SITE_LOCATION
2516 W YOSEMITE AVE
P_LOCATION
04
QC Status
Approved
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EHD - Public
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General COC MAIWorkOrder# 103B ) <br /> 6 <br /> OMcCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> W 1534 Willow Pass Rd.Pittsburg,Ca.94565-1701 1 u Around Time:I Day Rush 2 Day Rush 13 Day Rush STDI • 1 Quote# <br /> O Telephone:(877)252-9262/Fax:(925)252-9269 1-Flag/MDL ESLI • 1 Cleanup Approved Bottle Order# <br /> www.mccampbell.com mainna,meeampbell.eom Delivery Format: I PDF I GwTmckcr EDF I EDDI I Write 0.(DI E(hil <br /> Report To:Rick Day Bill To:Geocon Analysis Requested <br /> Company:Geocon <br /> Email:day@geoconinc.com <br /> Alt Email:beadle@geoconinc.com Tele:925-371-5900 !A <br /> Project Name:Manteca Firing Range Project#:E8857-02-02 <br /> Project Location:Manteca,CA PO O <br /> Sampler Signature: C U " E 1` W <br /> _ <br /> SAMPLE ID Sampling -p E f0 CL '� N <br /> Matrix Preseryative f6 +r _0 M CL (0 U _ <br /> Location/Field Point Date Time d N O O L Q Q <br /> Q Q U U U H F4 U H d <br /> 3/16/17a ; Zp 1 S 1 <br /> 3/16/17 ;ZS 1 S 1 <br /> ej 3/16/17 1 S 1 <br /> At 3/16/17 :3 1 S 1XX I <br /> 3/16/17 33 1 S 1 x <br /> 3/16/17 3 1 S 1 <br /> 3/16/17 1 1 S 1 1 <br /> 3/16/17 Jr, 1 S 1 <br /> 3/16/17 ;(, 1 S 1 <br /> 3/16/17 f 1 S 1 <br /> MAI clients MUST disclose any dangerous chemicals known to be present in their submitted samples in concentrations that may cause immediate harm or serious future health endangerment as a result of brief.gloved,open air,temple handling by MAI staff. <br /> Non-disclosure incurs on immediate$250 surcharge and the client is subject to full legal liability for harm suffered.Thank you for your understanding and for allowing us to work safely. <br /> •If metals are requested for water samples and the water type(Matrix)is not specified on the chain of custody,MAI will default to metals by E200.8. Comments/Instructions <br /> Please provide an adequate volume of sample.If the volume is not sufficient for a MS/MSD a LCS/LCSD will be prepared in its place and noted in the report. <br /> sl� Rclinquis itBy/Tany am Date Time Received By/Company Name Date Time <br /> Matrix Code:DW=Drinking Water,GW=Ground Water,WW=Waste Water,SW=Seawater,S=Soil,SL=Sludge,A=Air,WP=Wipe,O=Other <br /> Preservative Code: 1=40C 2=HCl 3=112SO4 4=HNO3 5=NaOH 6=ZnOAc/NaOH 7=None Temp eC Initials <br /> Page I of <br /> Page 40 of 44 <br />
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