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COGENUJ36
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WILSON
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1049
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2500 – Emergency Response Program
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COGENUJ36
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Entry Properties
Last modified
4/7/2023 4:09:28 PM
Creation date
4/7/2023 3:57:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COGENUJ36
PE
2546
STREET_NUMBER
1049
Direction
S
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
15133403
ENTERED_DATE
7/27/2021 12:00:00 AM
SITE_LOCATION
IN FRONT OF 1049 S WILSON WAY
RECEIVED_DATE
7/27/2021 12:00:00 AM
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\bmascaro
Tags
EHD - Public
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7 7 no Itional Anala Z000 8ZI 1010E nituojareg uoppois KtflVtZ/80 Excelchem Laboratories, Inc. 1135W. Sunset Blvd. Suite A Excelchem Rocklin, CA 95765 <br />Laboratories, Inc V Ph: 916-543-4445 Fe: 916-543-4449 <br />CHAIN-OF-CUSTODY RECORD AND ANALYSIS REQUEST <br />Project Manager <br />Drew Feucht <br />Phone a: <br />(510) 697-7738 <br />_ <br />X <br />Electronic Data Deliverables Request <br />.PDF <br />Email Address: <br />drew.feuchtAarcadis.com — <br />Geotracker luliet.hutchins(@.arcadis.com <br />X ., Other ,ieaw , i EDD dalia.rumani(aercadis.com Company/Address. <br />Arcadis U.S. Inc. <br />735 Tank Farm Road, San Luis Obispo, CA 93401 <br />Paso. <br />ANALYSIS REQUEST Pagel_ of _6 <br />Project Number/P.0#: <br />AccountsPavable.Administrationarcadis-us.com <br />Project Name: <br />RN 30101128.0002 PCBs by USEPA Method 8082A Percent Moisture 'Requested TAT 48 HOURS RUSH Bint <br />Due Date: <br />Project Location: <br />Stockton transformer <br />Same ignature: <br />Work Order: <br />LAB USE <br />ONLY: <br />Samp ing Container Method <br />Preserved Matrix <br />Sample <br />ID Date Time <br />a o > SLEEVE GLASS PLASTIC r] <br />5 a ow _ NONE SOIL WATER iu o_ [ASPHALT [CONCRETE VEGETATION 1OTHER MA cbill[ai 125Q .); x X <br />Ala ail X <br />At'. 1 <br />1 <br />op ).. AID 4, 1145 1( X <br />Ai- cam, XX <br />B1A I1-/ X, X X X <br />313 1130. A ' ,> <Y, A X 2108096 ea c 1140 X X ,‘ X K <br />X RID 114j X X x . <br />13.16 <br />1 <br />Q35 )( x <br />Relinquished by: Date Time *Received by: <br />\ LA. r,, <br />(41*1-, <br />Rema ks: <br />Send log-ins and results to emails listed above. <br />Composite sample groups and label sample D as indicated pnor to testing. <br />48-HOUR turnaround time on analytical results. <br />Report results on a dry weight basis. <br />vi4 ic4! <br />Relinquished by: Date Time Received by labor ory: <br /> anileluesaide fuoleioqei
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