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SR0085844_SSNL
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ESCALON BELLOTA
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16402
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2600 - Land Use Program
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SR0085844_SSNL
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Entry Properties
Last modified
10/12/2022 3:49:00 PM
Creation date
10/12/2022 3:37:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0085844
PE
2602
FACILITY_NAME
16402 S ESCALON BELLOTA RD
STREET_NUMBER
16402
Direction
S
STREET_NAME
ESCALON BELLOTA
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
22908028
ENTERED_DATE
9/29/2022 12:00:00 AM
SITE_LOCATION
16402 S ESCALON BELLOTA 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. <br />1534 Willow Pass Rd <br />k;L <br />Pittsburg, CA 94565-1701 <br />(925)252-9262 <br />[-]WaterTrax El CLIP <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 />CHAIN-OF—CUSTODY RECORD Page I of I <br />WorkOrder: 2209857 ClientCode: AGES <br />EDF [7]EQulS L] Dry -Weight DEmail F]HardCopy [7]ThirdParty DJ -flag <br />[-]Detection Summary ❑ Excel <br />Bill to: Requested TAT: 5 days; <br />Email: bmillman@advancedgeo.biz; admin@adva <br />Erica <br />cc/3rd Party: <br />AdvancedGeo, Inc. <br />PO: <br />837 Shaw Road <br />Project: Azevedo Property <br />Stockton, CA 95215 <br />ap@advancedgeo.biz <br />Date Received: 09/15/2022 <br />Date Logged: 09/15/2022 <br />Requested Tests (See legend below) <br />Lab ID ClientSamplD Matrix Collection Date Hold 1 1 2 3 4 11 6 7 1 8 I 9 I 10 11 I 12 <br />12209857-001 Domestic Well Water 9/14/2022 08:56❑ B A A I <br />Test Legend: <br />L 300_1_W <br />F5 <br />Project Manager: Jennifer Lagerbom <br />L2] 8260VOC_W <br />CJS - <br />,o <br />3 I PRDisposal Fee <br />7 <br />11 <br />8 — –� <br />12 <br />Comments: When Liter provided for TPH always do a Liter Extraction (Large Volume) <br />NOTE: Soil samples are discarded 60 days after receipt 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 />Prepared by: Lilly Ortiz <br />paae- 11 of ld <br />
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