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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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8L96 VD 10s0 0121 101 Creeksdie Ridge Court Suite 200 Y, <br />2. 2. 2. a o <br />2 <br />g. NonaA maia Z000 8Z11010£ -aut 'sa!Aneaoqei tumplaax3 Excelchem All 1135W. 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 />Phoned: <br />(510) 697-7738 <br />_ <br />X — <br />Electronic <br />. PDF <br />Geotracker <br />Data Deliverables Reques Email Address: <br />drew.feuchtarcadis.com <br />juliet.hutchinsarcadis.com <br />Company/Address: <br />kcadis U.S. Inc. <br />735 Tank Farm Road, San Luis Obispo, CA 93401 <br />Fax It: X — Other ivieasesper,,10 EDD dalia.rumanift,arcadis.com <br />ANALYSIS REQUEST Page of <br />Project NumbenP.Od: <br />AccountsPayable.Administrationarcadis-us.com <br />Project Name: <br />PN 30101128 0002 LPCBs by USEPA Method 8082A [Percent Moisture 'Requested TAT. 48 HOURS RUSH Bink <br />Due Date: <br />Project Location, <br />Stockton transformer <br />Sample Srgnature: <br />Work Order: <br />Sample <br />ID <br />Samp ing Container Method <br />Preserved <br />Matrix <br />LAB USE <br />ONLY: <br />Date Time VOA SLEEVE w <br />< <br />CD' <br />0 <br />`,2 <br />61 <br />l2 ICE NONE _i <br />5 (n IWATER [WIRE SPHALT 1CONCRETE 1VEGETATION OTHER 141A WIPI 1510 -)( X <br />)ia. 1515 X X. <br />ISI3 X X k <br />IGO )( ) )<- <br />Due-(a- coo x )( <br />00- oz coo xi <br />ouP-o3 coo <br />1,4 <br />ouP -oq tom X X <br />Oue- z25 WO X )C <br />tAil ./ ilas X , X X <br />Relinquished by: Date Time Received by: <br />t,ccc,.,,,,, <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 />Relinquished by. } Date Time Received by laboratory: <br /> anileluesaided koleioqei <br />-0
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