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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 MAI Work Order# <br /> a ® McCAMPBELL ANALYTICAL, INC. CHAIN OF CUSTODY RECORD <br /> O1534 Willow Pass Rd.Pittsburg,Ca.94565-1701 Tum Around Time:I Day Rushi 12 Day Rushi 13 Day Rush STDI • 1 Quote#[ <br /> WOTelephone:(877)252-9262/Fax:(925)252-9269 1 Bottle Order# <br /> www.mccampbell.com mainaamccampbell.com Delivery Formal: I PDF 1 GeoTracker EDF I EDD Write On(DW) I EQuIS <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 to <br /> Project Name:Manteca Firing Range Project#f8857-02-02 <br /> O <br /> Project Location:Manteca,CA P94 N <br /> Sampler Signature: O U ` [1- 00 <br /> -p C E (6 fl- <br /> SAMPLE ID Sampling U <br /> Location/Field Point Matrix Preservative C i M O O t C Q �_ Q <br /> Date Time + _..I Q U U U <br /> 3/16/17 Z 1 S 1 <br /> 3/16/17 1 S 1 <br /> 3/16/17 1 S 1 <br /> 3/16/17 1 S 1 <br /> 3/16/17 1 S 1 <br /> 3/16/17 1 S 1 <br /> 3/16/17 1 S 1 <br /> 3/16/17 1 S 1 <br /> 3/16/17 1 S 1 <br /> 3/16/17 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 brie[gloved,open air,sample handling by MAI staff <br /> Non-disclosure incurs an immediate 5250 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.S. 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 /> Relinquished By/ o p ny Name Date Time Received B /Company Name Date Time <br /> � � S <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=4eC 2=HCI 3=H2SO4 4=HNO3 S=NaOH 6=ZnOAc/NaOH 7=None Temp °C Initials [/ <br /> Page 7 of <br /> T Page 43 of 44 <br />
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