My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COGENUJ36
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
W
>
WILSON
>
1049
>
2500 – Emergency Response Program
>
COGENUJ36
Metadata
Thumbnails
Annotations
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
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
192
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
CASTLE ANALYTICAL LABORATORY <br /> Otixt, <br />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 209 500-1848 <br />ELAP Certificate No. 2480 <br />0_ <br />PAGE / OF <br /> <br />Customer: 4-icax1itis SAMPLE TYPE composite(c) discrete/grab(d) SAMPLE MATRIX soil(s) liquid(I) vapor(v) other (o) 11 FHA 1 E1 Ell A-LW 'i F.-$ NUMBER OF CONTAINERS 1 Method of Shipment: BTEXJMTBE/TPH-GAS 8021/8015 1 TPH-DIESEL / MOTOR OIL - 8015B1 TRPH 418.1M / SM5520C & F 1 Oxy's / EDB / DCA by 8260 1 8260 Volatiles- full list 1 PCBs - 8082 1 1 <br />sz Electronic Deliverables (EDF) Address: -435 TaA4t. "-1---6/61A 12-erovi <br />Notes: City/State/ZIP: cc{,i(v LAM, 610 Z1 A Ct 340 ( <br />Phone! Email: dr -on.),--epcifi gat 0,-- )' ul e.t.tvric,6et s e OfUtALS .Ccrvi <br />Project# / PO# / Global ID: :2)0/011 627 o44ir2i, rum A111 0 a/04s . <br />Report Attention: Mk/ # did- Juhe,-(-}-tui-a,(frksi Dotti:ok 12-voikakk 't <br />Sampler Signature: <br />\ Sampler Printed: d 0 '/, ir CY1-) <br />OBSERVATIONS/REMARKS Lab ID# SAMPLE ID DATE TIME DESCRIPTION/LOCATION <br />:21ce,loi - of CA VI 001 QI9 s, Wilso,(1 D S <br />- is- GV). LQ*,R3 , # .><.) 140(d, <br />-n, GV3 IR',AS )( NO Os <br />-11 C-di X Rom <br />-I., GV5 1),139 I <br />-Ig G\A) B3S ' ' <br />..0 GAA- 1-40 X <br />1409 1 X7c 1-ted <br />-70 GO izi-da 4dk'ok <br />-0t-) GAIT 10 i+IS XX <br />-7--1 GVII 11-91 X peck <br />-7,2 (V L. 14:5a I I HA <br />-Ds" GIVi/3 Igzo i <br />-2,3 Clvrf 1;;(3 XX 14A <br />V -211 1115 V 1511 A/ \Y <br />Signature Printed Name Datp Time Company N . .k., <br />. . 1,K, <br />--v15 <br />To a number of containers <br />submitted to the laboratory <br />Relinquished by: Pi. CPILI v1 1/1/0Vi qq.) ( 1-/L irC-c.t.a.i Turn Around Time: <br />Received by: (1 i / (e1/(j \ OkAr1 t) LLD^ a <br />t <br />*0,1 1"/ I 3 24 Hour tgl <br />Relinquished by: <br />eilg.1-le tepe_j <br />48 Hour <br />Received by: 3 Day <br />Relinquished by: 5 Day (Normal) <br />Received by: Special:
The URL can be used to link to this page
Your browser does not support the video tag.