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CO0051835 (2)
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2500 – Emergency Response Program
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CO0051835 (2)
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Last modified
8/25/2021 3:05:17 PM
Creation date
8/25/2021 2:56:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0051835
PE
2546
STREET_NUMBER
0
Direction
N
STREET_NAME
MATHEWS
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
NEAR 19318067
ENTERED_DATE
4/7/2020 12:00:00 AM
SITE_LOCATION
NB I-5 AT MATHEWS RD OFF RAMP
RECEIVED_DATE
4/7/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Sub-Contract Chain of Custody <br />Batch Date/Time: 03/29/21 10:37 <br />Sub-Contract Lab: ABCVCA <br />Address: 29 North Olive Street <br />City/State: Ventura, CA 93001 <br />Contact: beth*tquaticbioassay.com <br />WO: WG1642102 <br />Results Due Date: 04/09/2 1 <br />ESC Purchase Order #: L1330929 <br />Send Reports to: James C Huckaba <br />MTJLSuboutTeamgpacelabs.com <br />aceAnalytical ° <br />eiehontti Center for Iesere; 5 Innoveleen <br />12065 Lebanon Rd. <br />Mt. Juliet, TN 37122 <br />call:(615 )773-9756 <br />Sample Comments <br />Lab Use Only <br />Sample ID <br />Container ID Matrix State Collect Date <br />WR4084 SS CA 03/18/21 13:30 Fish Bioassay 2. L1330929-01 34887828 <br />Container used for multiple Samples and/or Analyses <br />Relinquished by Date <br />Rceieved Date /fi °// PIO <br />Relinquished by. Date <br />Recieved by. Date <br />Description Sample Number <br />Lab Use Only <br />a.A4111-- Q •
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