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SR0083835_SSNL
EnvironmentalHealth
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2600 - Land Use Program
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SR0083835_SSNL
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Last modified
6/24/2021 1:40:09 PM
Creation date
6/24/2021 1:25:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0083835
PE
2602
FACILITY_NAME
1480 WHITE LANE
STREET_NUMBER
1480
STREET_NAME
WHITE
STREET_TYPE
LN
City
STOCKTON
Zip
95215
APN
10128001
ENTERED_DATE
6/9/2021 12:00:00 AM
SITE_LOCATION
1480 WHITE LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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McCampbell Analytical, Inc. CHAIN -OF -CUSTODY RECORD <br />1534 Willow Pass Rd <br />"" Pittsburg. CA 9456 5-1 70 1 WorkOrder: 2105883 ClientCode: AGES <br />(925) 252-9262 Ci WaterTrax —, WriteOn EDF EQulS Dry -Weight Email HardCopy <br />=1 ❑ I�u C <br />,77 <br />Detection Summary ❑ Excel <br />Report to: <br />Brian Millman <br />AdvancedGeo, Inc. <br />837 Shaw Road <br />Stockton, CA 95215 <br />(209) 467-1006 FAX: (209) 467-1118 <br />Lab ID Client ID <br />Pape I of 1 <br />_ThirdParty _1J -flag <br />Bill to: Requested TAT: 5 days; <br />Email: bmillman@advancedgeo.biz; admin@adva Erica <br />cc/3rd Parry: AdvancedGeo, Inc. <br />PO: 837 Shaw Road Date Received: 05/18/2021 <br />Project: Mills Property Stockton, CA 95215 Date Logged: 05/18/2021 <br />ap@advancedgeo.biz <br />Matrix Collection Date Hold I 1 <br />2 01 5883-001 DW1 Water 5/18/2021 08:00 _' A B A <br />Test Legend: <br />=1 300_1_W <br />u <br />E9 <br />2 524 2BASIC_W <br />6 <br />10 – <br />Requested Tests (See legend below) <br />4 5 1 6 F7—F 8 9 10 <br />3 PRDisposal Fee <br />7 <br />11 <br />4 <br />8 <br />12 <br />Project Manager: Rosa Venegas Prepared by: Lilly Ortiz <br />Comments: When Liter provided for TPH always do a Liter Extraction (Large Volume) <br />NOTE: Soil samples are discarded 60 days after results are reported unless other arrangements are made (Water samples are 30 days). <br />Hazardous samples will be returned to client or disposed of at client expense. <br />Page 10 of 13 <br />
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