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CO0SA0WHZ (2)
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MCALLEN
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3154
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2500 – Emergency Response Program
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CO0SA0WHZ (2)
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Entry Properties
Last modified
3/23/2022 10:18:46 AM
Creation date
3/23/2022 10:11:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0SA0WHZ
PE
2546
STREET_NUMBER
3154
Direction
E
STREET_NAME
MCALLEN
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
13202012
ENTERED_DATE
7/17/2021 12:00:00 AM
SITE_LOCATION
3154 E MCALLEN RD
RECEIVED_DATE
7/17/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Method of Shipment: act ivt_z-v1,1td. Notes: OBSERVATIONS/REMARKS 11 Total number of containers II submitted to the laboratory II Turn Around Time: 24 Hour 48 Hour 3 Day I1 5 Day (Normal) I Special: SeENIVINO3 1;) 271A9NnN ..-- ..-- REQUESTED ANALYSES 003) saiqeJan!lea Diu0Jp913 Company Name e(s...... <br />WI <br />Z808 - SEI0c1 \ <br />Is!I Ilni - 09Z8 <br />09Ze 4 VOG / 802 / si,x0 <br />A '9 00Z99NS / Al:9117 Hcl W_ <br /> <br />s We -13S310-Hdl <br />g L09/1202 SVO-Hcl_U3911N/X3.19 w <br />a <br />c< <br />.•••••• <br />—. <br />cl) <br />--- <br />N- <br />(o) Jayio (A)Joden (I)P!nbq (s)flos <br />XIHIVIN 31dINVS r <br />(p)qa16/alansp (o)al!sodwoo <br />31cIVWS Printed Name a <br />5 k.,) <br />,•' <br />1 ic ) <br />\ <br />Ht::_....., <br />g.-----, Customer: PG&E Stockton 'Address: 4040 West Lane I City/State/ZIP: Stockton, CA 95204 I Phone / FAX: (209) 942-1401 a <br />.... ..... <br />.... <br />C in <br />a <br />Til _o o <br />0 <br />it 0 <br />fl. <br />.(-3= <br />CL. IReport Attention: Alex .teele tiSay6 Larsen ilampler Signature: Sampler Printed: k..94case:43 DESCRIPTION/LOCATION —..) , ,..., <br />,? <br />DdAl TIME C .. Da _ Signature Relinquished by: ahr"--4(X,Sa-c•-•1/4_, Received 1?- 7( /— Ey/ — Relinquished bL/ Received by: Relinquished by: Received by: DATE rzy , ,-. SAMPLE ID , sz Lab ID# CHAIN OF CUSTODY e••••• <br />U- <br />0 Certificate No. 2480 CASTLE ANALYTICAL LABORATORY 2333 Shuttle Drive, Bldg 908/909, Atwater, CA 95301
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