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CO0054426 (2)
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2500 – Emergency Response Program
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CO0054426 (2)
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Entry Properties
Last modified
4/4/2023 2:16:22 PM
Creation date
4/4/2023 2:10:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0054426
PE
2546
STREET_NUMBER
29050
Direction
E
STREET_NAME
WIMER
STREET_TYPE
RD
City
LINDEN
Zip
95236
APN
06728010
ENTERED_DATE
11/8/2021 12:00:00 AM
SITE_LOCATION
29050 E WIMER RD
RECEIVED_DATE
11/8/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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PAGE OF <br />ELAP Certificate No. 2480 Location: 2333 Shuttle Drive, Bldg 908/909, Atwater, CA 95301 <br />Mailing Address: 2333 Shuttle Dove, Atwater, CA 95301 <br />Phone: 209 384-2930 - Fax: (209) 500-1848 <br />CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <br />Customer. r 64.6 <br />, <br />Address: /1 06 ,-iriir .4"H 4. 5 6i:4-o 6' TPH-DIESEL / MOTOR OIL-uUl5u 111111111111111111111111 TRPH 418.1M I 5M5520C & F 111111111111111111111111 Oxy's / EDB / DCA by 8260 111111111111111111111111111.1 8260 Volatiles- full list 11111111111111111111111EN PCBs -8082 Ti 111111111111111111111111111 1111111111111111111111111111M1111 immtommui Electronic Delwerables (EDF) NUMBER OF CONTAINERS 0 0) 7J 0 02 111 Cn City/State/ZIP: f C4- It A7 4 5-2-24 -rd <br />g LI-' if4/6"‘L. <br />Phone / Email: i'52 .V (° P C7k <br />Project# / PO# / Global ID: .., .6 <br />Report Report Attention: ilicy 5 6_6" 1.--A— <br />Sampler Signature <br />Sampler Printed: IL <br />Lab ID# SAMPLE ID DATE TIME DESCRIPTION/LOCATION <br />/ z — 3 - 6 - 2-3-21 q:- 30 C2 - So /2- <br />/7 - 3 0-2 /2-3-24 q: yb D2 -50/L <br />Signature Printed Name <br />Relinquished by: <br />Received by: <br />Relinquished by: <br />Received by: <br />Relinquished by: <br />Received by: <br />29050 E Wimer Rd, Linden <br /> Record ID C00054426 <br />12/3/2021 <br /> ER Complaint <br />Photo 2: Chain of Custody for samples. <br />John Alana, REHS <br /> Page 2 of 2
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