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CO0053806
EnvironmentalHealth
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2500 – Emergency Response Program
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CO0053806
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Entry Properties
Last modified
7/11/2023 2:18:45 PM
Creation date
7/11/2023 1:14:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0053806
PE
2546
STREET_NUMBER
1611
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
NEAR 17110021
ENTERED_DATE
5/17/2021 12:00:00 AM
SITE_LOCATION
1611 MARIPOSA RD
RECEIVED_DATE
5/17/2021 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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CASTLE ANALYTICAL LABORATORY <br /> f7)1•(-2C-1--( <br /> <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 />Certificate No. 2480 <br />PAGE I OF' <br /> <br />Customer: PG&E Stockton SAMPLE TYPE composite(c) discrete/grab(d) SAMPLE MATRIX soil(s) liquid(I) vapor(v) other (o) REQUESTED ANALYSES NUMBER OF CONTAINERS Method of Shipment: <br />0 & L1 `2_ Ce Address: 4040 West Lane 113TEX/MTBEfTPH-GAS 8021/8015 TPH-DIESEL -8015 TRPH 418.1M / SM5520C & F Oxy's / EDB / DCA by 8260 17i — <br />c, ,c, csJ PCBs - 8082 Electronic Deliverables (EDF) City/State/ZIP: Stockton, CA 95204 Notes: <br />2_ i,.-4t Q_ <br />0 Irlr <br />Phone / FAX: (209) 942-1401 <br />Proi# / PO# /Global ID: ',, ), l;Y\ 10--\0.s1 p,i, <br />Report Attention: Alex Steele / Dave,karsen <br />,--) Sampler Signature: <br />Sampler Printed: 014\UE:- - LAI2 ,S ebi <br />Lab ID# SAMPLE ID DATE TIME DESCRIPTION/LOCATION OBSERVATIONS/REMARKS <br />tYlt#R .‘ p (.., A- Zoo <br />7 ,, Signature Printed Name Date Time Company Name , <br />t <br />Total number of containers <br />submitted to the laboratory <br />Relinquished by: /' 2 / 4..----;;;',0 ,,.:.,,,k....P 4----- 0 ‘21-\-L) LA12-Set--) 5 1721 P(1(i 6-_,— Turn <br />24 <br />48 <br />3 <br />5 <br />Around Time: <br />Received by: .F--2--- "4-0 )1.-2 r" ------,e-. .:--:-/. -G vici 57-1 '-Z,/ 7.4.711 :; f_i-t.e. M-1 , Li t) e d_e Hour I <br />Relinquished by: Hour I I <br />Received by: Day -I <br />Relinquished by: Day (Normal) <br />Special: V-, Received by:
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