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COVWLHVCM
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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5100
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2500 – Emergency Response Program
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COVWLHVCM
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Entry Properties
Last modified
11/19/2024 3:47:34 PM
Creation date
3/17/2023 4:04:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COVWLHVCM
PE
2546
FACILITY_NAME
FRANK C ALEGRE TRUCKING INC
STREET_NUMBER
5100
Direction
W
STREET_NAME
STATE ROUTE 12
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05516067
ENTERED_DATE
10/4/2022 12:00:00 AM
SITE_LOCATION
5100 W HWY 12
RECEIVED_DATE
10/4/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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CASTLE ANALYTICAL LABORATORY <br /> <br />ea,s. <br /> <br />CHAIN OF CUSTODY <br />Location: 2333 Shuttle Drive, Bldg 908/909, Atwater, CA 95301 <br />Mailing Address: 2333 Shuttle Drive, Atwater, CA 95301 <br />• - <br />ELAP Certificate No. 2480 <br />PAGE OF <br /> <br />_ <br />Customer: Y (Of /(AMI-L40 , SAMPLE TYPE composite(c) discrete/grab(d) SAMPLE MATRIX soil(s) liquid(I) vapor(v) other (o) REQUESTED ANALYSES 1 NUMBER OF CONTAINERS II Method of Shipment: <br />Address: BTEX/MTBE/TPH-GAS 8021/8015 JPH-DIESEL / MOTOR OIL - 8015B TRPH 418.1M / SM5520C & F Oxy's / EDB / DCA by 8260 8260 Volatiles- full list , PCBs - 8082 Electronic Deliverables (EDF) City/State/ZIP: Notes: <br />Phone / Email: <br />/ PO# / Global ID: ,Project# <br />Report Attention: <br />Sampler Signature: <br />Sampler Printed: 644A-40c7-7-J (447/AYL.77 /1:- <br />Lab ID* S,AMPLE ID DATE- TIME DESCRIPTION/LOCATION OBSERVATIONS/REMARKS <br />/r/ti^. 7-0'; ,- ' X )C <br />Signature Printed Name Date Time Company Name <br />Total number of containers <br />submitted to the laboratory <br />Turn Around Time: <br />Received toy-,_ / -rcec 0 33 - oti Ckf)(1' i 24 <br />48 <br />3 <br />5 <br />Hour I I <br />Relinquished by Hour I <br />Received by Day I <br />Relinquished by: Day (Normal) Cr714--- <br />Special: Received by:
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