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CO0053349 (2)
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2500 – Emergency Response Program
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CO0053349 (2)
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Entry Properties
Last modified
8/3/2021 2:46:13 PM
Creation date
8/2/2021 4:09:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0053349
PE
2546
STREET_NUMBER
6163
Direction
S
STREET_NAME
MOBLEY
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18707001
ENTERED_DATE
1/28/2021 12:00:00 AM
SITE_LOCATION
6163 S MOBLEY RD
RECEIVED_DATE
1/28/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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� l wz <br /> CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <br /> Locbtion: 2333 Shuttle Drive, Bldg 908/909, Atwater,CA 95301 Certificate No.2480 <br /> Mailing Address:2333 Shuttle Drive,Atwater,CA 95301 PAGE___I_OF_A___ <br /> Phone: 209)384-2930 - Fax: 209 500-1848 <br /> Customer: PG&E Stockton o REQUESTED ANALYSES Method of Shipment: <br /> Address: 4040 West LaneL o CU) <br /> City/State/ZIP: Stockton, CA 95204 m x `° N Z Notes: <br /> Phone / FAX: (209) 942-1401 o m N N z <br /> CD <br /> 0 <br /> Proj#/ PO#/Global ID: ( a a > � w co o u- <br /> Report Attention: Alex S eele Da Larsen t o o o m o <br /> W m W N U U W <br /> Sam ler Signature: 0 ILN a o � <br /> Sampler Printed: /��b1:1 v W � o W z <br /> Lq.b ID# SAMPLE ID DATE TIME DESCRIPTION/LOCATION N m ~ OBSERVATIONS/REMARKS <br /> 21 71 0► t <br /> =2l ,5' 20 k O-z- <br /> -1number of containers <br /> Signature Printed Name Date Time Company Name submitted to the laboratory <br /> b <br /> Relinquished : (�� - f Turn Around Time: <br /> q Y G� ` <br /> Received by: d X/art !-2sf.2/ ]F1N� 24 Hour <br /> Relinquished by: 48 Hour 0 <br /> Received by: 3 Day 0 <br /> Relinquished by: 5 Day (Normal) <br /> Received by: Special: <br />
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