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CO04KEJWY (2)
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2500 – Emergency Response Program
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CO04KEJWY (2)
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Last modified
4/14/2021 11:18:24 AM
Creation date
4/14/2021 10:41:28 AM
Metadata
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Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO04KEJWY
PE
2546
STREET_NUMBER
833
Direction
E
STREET_NAME
8TH
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
NEAR 16901007
ENTERED_DATE
10/11/2020 12:00:00 AM
SITE_LOCATION
833 E 8TH ST
RECEIVED_DATE
10/11/2020 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\ymoreno
Tags
EHD - Public
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aceAnalytical s <br />Nato,; Cenral' for Teong Innovation <br />Matrix State Collect Date Description Sample Number <br />Lab Use Only <br />Sample Comments <br />Lab Use Only <br />SS CA 10/22/20 14:22 Fish Bioassay 2. L1286525-01 <br />Sub-Contract Chain of Custody <br />Batch Date/Time: 11/17/20 14:23 <br />Sub-Contract Lab: ABCVCA <br />Address: 29 North Olive Street <br />City/State: Ventura, CA 93001 <br />Contact: bethC4aquatiebioassay.com <br />WO: WO 1577818 <br />Results Due Date: 11/24/20 <br />ESC Purchase Order N: L1286525 <br />Send Reports to: James C Huckaba <br />Email: MTJLSuboutTeam(it)pacelabs.com 12065 Lebanon Rd. <br />Mt. Juliet, TN 37122 <br />eall:(615)773-9756 <br />Sample ID <br />Container ID <br />#1 OILY DEBRIS/RAGS/PPE <br />33705488 <br />*= Container used tbr multiple Samples and/or Analyses <br />Relinquished by <br />Recieved by <br />Relinquished by <br />Recieved by <br /> <br /> Date <br />flat <br /> Date <br />Date <br /> <br />614%7 <br /> <br />‘90 <br /> <br />3 '')6
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