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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
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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upnal mala Z000 Et 1010E 13LUJOJSL12.11 U011001S 8Z-b1 1Z/E/80 Excelchem 4/-1 1135 W. Sunset Blvd. Suite A <br />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 #: <br />(510) 697-7738 <br />_ <br />X — <br />Electronic <br />. PDF <br />Other <br />Geotracker <br />Data Deliverables Reques Email Address: <br />drew.feuchtaarcadis.com <br />juliet.hutchinsAarcadis.com <br />Company/Address: <br />kcadis U.S. Inc. <br />735 Tank Farm Road, San Luis Obispo, CA 93401 <br />Fax #: X _ ioxiasespecifyi EDD daliasumani(aarcadis.com <br />ANALYSIS REQUEST Page of 1 <br />Project NumberIP.0#: <br />AccountsPayable.AdministrationAarcads-us.com <br />Project Name: <br />PN 30101128.0002 !PCBs by USEPA Method 8082A Percent Moisture IRequested TAT: 48 HOURS RUSH BInt. <br />Due Date: <br />Project Location: <br />Stockton transformer <br />Sampler ignature: <br />Work Order: <br />Sample <br />ID <br />Samp ing Container Method <br />Preserved Matrix <br />LAB USE <br />ONLY: <br />Date Time VOA SLEEVE GLASS cr) 4 <br />Et <br />o 5 <br />< <br />w <br />Y. NONE SOIL WATER WIPE ASPHALT CONCRETE [VEGETATION [OTHER L 1 A qii/ai i31, )‹ ><- < <br />413 , x X <br />C4G 1 1150 ?, X <br />Cr ID 4, Igi <br />X )C K <br />1% .3 t15 <br />DIA -} <br />o'i-c, 1 115 y X )\' <br />010 4, 13Q0 X >' <br />C)--- Com? \I <br />Relinquished by: Date Time Received by: <br />yA C , / <br />/c, k-'-/-1 <br />Rema ks. <br />Send log-ins and results to emails listed above. <br />Composite sample groups and label sample D as indicated prior to testing. <br />48-HOUR turnaround time on a4ytical results. <br />Report results on a dry weight basis. . <br />c .,/ i,lk \ 1(41 <br />Relinquished by: Date Time Received by laboratory: enileluesaideH koleJoqei N) <br />0 Excelchem Laboratories, Inc.
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