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CO0055529
EnvironmentalHealth
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2500 – Emergency Response Program
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CO0055529
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Entry Properties
Last modified
3/17/2023 4:44:32 PM
Creation date
3/17/2023 4:43:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0055529
PE
2546
STREET_NUMBER
8216
Direction
E
STREET_NAME
PELTIER
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01717005
ENTERED_DATE
1/17/2023 12:00:00 AM
SITE_LOCATION
8216 E. PELTIER ROAD, ACAMPO, CA95220
RECEIVED_DATE
1/13/2023 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 />Casite. oiuS CHAIN OF CUSTODY <br />Location: 2333 Shuttle Drive, Bldg 908/909, Atwater, CA 95301 <br />Mailing Address. 2333 Shuttle Drive, Atwater, CA 95301 <br />Phone: 209 384-2930_- Fax: 209 384-1507 <br />Certificate No. 2480 <br />PAGE k OF <br /> SAMPLE TYPE composite(c) discrete/grab(d) SAMPLE MATRIX soil(s) liquid(I) vapor(v) other (o) REQUESTED ANALYSES NUMBER OF CONTAINERS Method of Shipment: <br />0 kix-Z00 BTEX/MTBE/TPH-GAS 8021/8015 I TPH-DIESEL -8015 TRPH 418.1M / 5M5520C & F Oxy's / EDB / DCA by 8260 8260 - full list PCBs - 8082 Electronic Deliverables (EDF) Cit /State/ZIP: ¶5\& <br />Aft Notes: <br />Phone / FAX: -tcpc( ci \-V7 1, tA 01 <br />Proj# / PO# /Global ID: c•---re(7 N\ ficlia, LocA-TioL)s <br />Report Attention: ekt.,,z1Xy.1LE, V3A0E, LAi--a,Ek. <br />Sampler Signature: <br />Sampler Printed: 110it\L7t..L:) LA Q-AsSi:6 <br />Lab ID# SAMPLE ID DATE TIME DESCRIPTION/LOCATION OBSERVATIONS/REMARKS <br />4471cp PEAT\ E2 1-G-2_3_ 1 02_ Oil__ I A <br />t340 etdi A t -12:23 k 02_ 0 i A___ /\ A <br />12f) PICA6 A ‘12-23. t 07 0% C / <br />7,39S1 101N1 a H023 l OZ.._ Oli <br />21500 Q.V \\e9C., 'o2_ Oil_ V A 1-H-Z3. <br />2_(-12.1 B0,0_ 1-9-23 I c.pz c 17 L. \ <br />,_ <br />- <br />Signature Printed Name Date Time Company Name <br />6- Total inttuedmbtoerthoef containers <br />Relinquished by: Abo,/x.....,..„........._ Oft-A?.. Lic\C2-..--':4.D 1 1L1:25 PG ‘, -e- Turn <br />I 24 <br />48 <br />3 <br />I 5 <br />Around Time: <br />Received by: n k------ Mt) re nu j . Ao .23 11\l'A ca 5+ i c Hour I I <br />Relinquished by: Hour I <br />Received by: Day I <br />Relinquished by: Day (Normal) I <br />Received by: Special: 0,...)5\--)
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