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SR0084281_SSNL
EnvironmentalHealth
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2600 - Land Use Program
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SR0084281_SSNL
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Entry Properties
Last modified
2/10/2022 9:36:56 AM
Creation date
10/27/2021 10:53:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084281
PE
2602
FACILITY_NAME
33503 S KOSTER RD
STREET_NUMBER
33503
Direction
S
STREET_NAME
KOSTER
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25509032
ENTERED_DATE
9/28/2021 12:00:00 AM
SITE_LOCATION
33503 S KOSTER RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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McCampbell Analytical, Inc. CHAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> 1534 Willow Pass Rd <br /> f; Pittsburg,CA 94565-1701 WorkOrder: 2109270 ClientCode: PLGC <br /> (925)252-9262 WaterTrax WriteOn EDF ❑EQuIS Dry-Weight Email HardCopY ❑ThirdPartY ❑J-flag <br /> ❑Detection Summary ❑Excel <br /> Report to: Bill to: Requested TAT: 5 days; <br /> Daniel Kramer Email: dkramer@petralogix.com Accounts Payable <br /> Petralogix cc/3rd Party: tscheftner@petralogix.com; Petralogix <br /> 26675 Bruella Road PO: 26675 Bruella Road Date Received: 09/07/2021 <br /> Galt, CA 95632 Project: SSS/NLS-S Koster Road Galt, CA 95632 Date Logged: 09/07/2021 <br /> (209)400-5729 FAX: <br /> Requested Tests(See legend below) <br /> Lab ID Client ID Matrix Collection Date Hold 1 2 3 4 5 6 7 8 9 10 11 12 <br /> 2109270-001 DW Water 9/7/2021 10:30 ❑ B A A <br /> 2109270-002 Trip Blank Water 9/7/2021 10:30 .I❑ A A A <br /> Test Legend: <br /> 1 3001 W F2 524 3 504W nPRDisposal Fee F® PRHOLD <br /> F <br /> 5 © I ' s� I8II� <br /> 9 10 11 12 J <br /> Project Manager: Rosa Venegas Prepared by: Agustina Venegas <br /> Comments: <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 8 of 11 <br />
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