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COGENUJ36
EnvironmentalHealth
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WILSON
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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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Certificate No. 2480 <br />CHAIN OF CUSTODY <br />PAGE OF I <br />John Alaniz, RENS Page 4 of 5 <br />CASTLE ANALYTICAL LABORATORY <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) 384-1507 <br />iNu5tumer. rricrk.01 ___ SAAPLE TYPEY I compostte(c) tliscreteigrab(d) SAMPLE MATRIX scil(s) Ilquid(I) vaporK other (o) IL REQUESTED ANA YSES <br />1 <br />.. o <br />Method of Shipment: I ddress: q3C7 l'amic qA -6,,,rivi /2,,j3,4 BTEX/MTBEJTPH-GAS 8021/8015 TPEI-DIESEL - 8015 4 <br />_ <br />,_ 2 <br />1 <br />9 <br />g <br />... m <br />5- <br />. <br />, EIoSnc Dative es (EDF) City/State/ZIP: &lin Luis r1100,C,I4 9 2, i0 1 Andrew. UK& oicais.ii. <br />Notes: <br />kix-Y1- resuit <br />144f alwet-514f <br />Phone / FAX' drew. feu ciAt @ &asks. covN , -pi i et. kuldnifts@aramlis.cow 2—E <br />Proj# / PO# /Global ID: 3 0 101 1 as oletlia.rvenani <br />Report Attention: VItAni RqiciAf Nct_lief- Iflu}itAir bc,l/a 4,Ar-f;I:k;,"1 <br />Sampler Signature: Am rew Cyltvi <br />Sampler Printed: A ãci1jô i 5 <br />Lab ID# SAMPLE ID DATE TIME DESCFIIPTION/LOCATION OBSERVATIONS/REMARKS <br />1.1f1 9/4/al 101 S W its or D S Reed <br />L-12, 1641 1) .0 Hrett <br />, 1 1-C i046, D S 1-itiri <br />L-1D la1.75 D S c4 &k <br />t-i-COTIP (-- C, S X >< <br />_NLIA 15-1 I) S {-ttO <br />Iv1112, 103 D s {-kfci <br />M1C- ItS4 D _S 1-1g <br />M 112 1059 D73 4I:PA <br />VI 1 - COI P C., S <br />Gk/1 II(,, D S a. <br />S <br />r:12, II ' .. 0 D L A <br />\ <br />1 \ \ <br />Total number al contemn <br />Signature Printed Name Da te Time Company Name 0 submitted to the tebereter'l <br />Time: \ um A round <br />24 Hour Z Relinquished by . <br />\ 48 Hour 0 <br />Received by: 0 <br />telinquIshed by: 3 Day <br />50; (Normal) 0 <br />'iysitie<_DP: <br />rilinquished by: <br />S.ecial: <br />Received by: <br />1049 S Wilson Way, Stockton <br /> Record ID COGENUJ36 <br />9/4/2021 <br /> <br />ER Complaint <br />Photo 4: Chain of Custody form for samples taken.
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