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CO0047329
EnvironmentalHealth
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2500 – Emergency Response Program
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CO0047329
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Entry Properties
Last modified
10/20/2025 10:36:55 AM
Creation date
10/17/2025 3:24:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0047329
PE
2546 - Release/Spill Response (excluding Joint Team)
STREET_NUMBER
1000
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19820005
ENTERED_DATE
8/27/2018 12:00:00 AM
CURRENT_STATUS
Closed
SITE_LOCATION
1000 ROTH RD
RECEIVED_DATE
8/27/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\bmascaro
Supplemental fields
Site Address
1000 ROTH RD FRENCH CAMP 95231
Tags
EHD - Public
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CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <br /> Location: 2333 Shuttle Drive, Bldg 908/909, Atwater, CA 95301 Certificate No.2480 <br /> Mailing Address: 2333 Shuttle Drive,Atwater,CA 95301 ` ad �j PAGE OF <br /> Phone: 209)384-2930 - Fax: 209 384-1507 <br /> Customer: a REQUESTED ANALYSES Method of Shipment: <br /> Address: 'A C'>A Q w a;`eV— r <br /> City/State/ZIP: L� C� "1ST " ° m z Notes: <br /> N N N N <br /> W 0' U W <br /> Phone/ FAX: 2 <--r 1*-1 0k " 2 o m wN N 92 z <br /> Pro#/ PO#/Global ID: l 1 �`^ 1(J 31y1C&%S la - I? w occ <br /> _ co o <br /> Report Attention: �( �aR L3LCs SUS 1_ z� � � < o o c) m ox <br /> N m w o E m 21 2 {?Jud <br /> Sampler Signature: _ o <br /> Sampler Printed: �—+�2�� w 0 W Z <br /> U r <br /> Lab ID# SAMPLE ID DATE TIME DESCRIPTION/LOCATION m OBSERVATIONS/REMARKS <br /> 31yl�L�SSy ►?7D� $:3� � DZ o` � 1 <br /> otal number of containers <br /> Signature n� Printed Name Date Time Company Name submitted to the laboratory <br /> Relinquished by: n JE L LI> % :4 '& I.Turn Around Time: <br /> Received by: y C �Z �'• O �e 24 Hour 0 <br /> Relinquished by. 48 Hour 0 <br /> Received by. 3 Day <br /> Relinquished by: 5 Day (Normal) 0 <br /> Received by Special: <br />
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