My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COGWBZT0K
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
E
>
ESCALON BELLOTA
>
16460
>
2500 – Emergency Response Program
>
COGWBZT0K
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/27/2023 4:19:41 PM
Creation date
4/27/2023 4:00:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COGWBZT0K
PE
2546
FACILITY_NAME
16460 ESCALON BELLOTA ROAD
STREET_NUMBER
16460
STREET_NAME
ESCALON BELLOTA
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
22908026
ENTERED_DATE
3/12/2022 12:00:00 AM
SITE_LOCATION
16460 ESCALON BELLOTA ROAD
RECEIVED_DATE
3/12/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
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.
/
30
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
&OILY. 2W9C)(ac. CHAIN OF CUSTODY <br />ELAP Certificate No. 2480 <br />PAGE OF <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: 209 500-1848 <br />Customer: p 6 ti <br />.,. SAMPLE TYPE composite(c) ds,Ctete/grab(d) SAMPLE *MATRIX soil(s) liquid(I) . vapor(v) other (o) . REQUESTED ANALYSES NUMBER OF CONTAINERS ! I Method of Shipment: <br />Address: ii oe crivicellc(5 61/1-0 6: I? ea BTEX/MTBE/TPH:GAS 8021/8015 TPH-DIESEL / MOTOR OIL - 8015B TRPH 418.1M / SM5520C & F. Ones / EDB / DCA by 8260 8260 Volatiles:- full list PCBs - 8082 . , <br />. Electronic Deliverables (EDF)' Notes: citylState/ZIP:g,v6,6 I, c._ c.,4 el ,,.... 41 3-2-2-1 <br />Phone / Email: 2 Sli co p (.2 lc - . -0,(1 <br />Project# / PO# / Global ID: <br />Report Attention: At. C . 74. <br />Sampler Signature: X <br />Sampler Printed: 0 . , ‹x <br />., :Lib Mits. SAMPLE ID . -DATE TIME ,DESCRIPTION/LOCATION *OBSERVATIONS/REMARKS <br />10 .* o D L. , -V6-----7 I 7,c5:,-1-0 <br />.. , 3_1q. 22 <br />ZO )t -7'4 <br />._ <br />--,. <br />„ <br />. .,... <br />--- <br />, .:. <br />if.,.. <br />.:, . <br />otal number of containers <br />submitted to the laboratory .. • Si ii6tu rinted Name Date Tim.e - . <br />P6 <br />: .COMpany:Narhe. <br />4E_ . <br />. .:,,•I .. <br />Relinquished by: Turn <br />24 <br />48 <br />3 <br />5 <br />Around Time: <br />Hot'- <br />Houi) , <br />by: ,C) (- Cnte j •JReceived fre: - Cov\--c-2 :3!ic--2- ? it7,..52_ &zi.L4-44 AtyLej <br />Relinquished by: <br />Received by: • Day <br />Relinquished by: Day (Formal) I <br />Received by: Special?
The URL can be used to link to this page
Your browser does not support the video tag.