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CO0052661
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2500 – Emergency Response Program
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CO0052661
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Entry Properties
Last modified
3/3/2021 4:31:30 PM
Creation date
3/3/2021 4:22:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0052661
PE
2546
STREET_NUMBER
0
Direction
E
STREET_NAME
SPERRY
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
NEAR 17728039
ENTERED_DATE
9/18/2020 12:00:00 AM
SITE_LOCATION
AIRPORT WY & SPERRY RD
RECEIVED_DATE
9/18/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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CASTLE ANALYTICAL LABORATORY CL5� (-� �� �% GG C CHAIN OF CUSTODY <br /> Location: 2333 Shuttle Drive, Bldg 908/909, Atwater, CA 95301 ELAP Certificate No. 2480 <br /> Mailing Address:2333 Shuttle Drive,Atwater,CA 95301 PAGE OF <br /> Phone: 209 384-2930 - Fax: 209 500-1848 <br /> Customer: T1_11-67y o REQUESTED ANALYSES Method of Shipment: <br /> Add ress: o m LL U) <br /> X ° ° �o 06 " W <br /> Cit /State/ZIP: W v W N U o Q Notes: <br /> Phone / Email: a o `o w Z <br /> CC) o <br /> C:) m <br /> - W W m Q o U m U <br /> Project#/ PO#/Global ID: I' l a- <br /> 2 ' �' o CO > W <br /> � m N o <br /> Report Attention: < N D � w m o > Cr <br /> W <br /> Sampler Signature: a = � �* o i o <br /> E W x N <br /> Sampler Printed: �% � _ i '� } S w o o 1 w Z <br /> I <br /> Lab ID# SAMPLE ID DATE TIME DESCRIP ION/LOCATION ~ OBSERVATIONS/REMARKS <br /> C// S <br /> l <br /> Total number of containers <br /> Signature Printed Name Date Time Company Name submitted to the laboratory <br /> Relinquished by: v� r. !� Turn Around Time: <br /> Received b . C� / Q �l 24 Dour 0 <br /> Relinquished by: 48 Hour 0 <br /> Received by: 3 Day <br /> Relinquished by: 5 Day (Normal) <br /> Received by: Special: <br />
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