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ARCHIVED REPORTS_SITE INVESTIGATION AND WELL DESTRUCTION PERMIT
Environmental Health - Public
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EHD Program Facility Records by Street Name
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24550
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2900 - Site Mitigation Program
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PR0537774
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ARCHIVED REPORTS_SITE INVESTIGATION AND WELL DESTRUCTION PERMIT
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Entry Properties
Last modified
1/29/2020 6:19:39 PM
Creation date
1/29/2020 4:40:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
SITE INVESTIGATION AND WELL DESTRUCTION PERMIT
RECORD_ID
PR0537774
PE
2950
FACILITY_ID
FA0021779
FACILITY_NAME
FED X GROUND TRACY PROJECT
STREET_NUMBER
24550
Direction
S
STREET_NAME
HANSEN
STREET_TYPE
RD
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
24550 S HANSEN RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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®„ Page 57 of 57 <br /> eurofins <br /> IZI In 171 <br /> 11 Calscience WORK ORDER M 14-06-IL <br /> �Iqf` - Cooler—L Of <br /> CLIENT: C- t?, P— DATE: 061 t W 14 <br /> TEMPERATURE: Thermometer ID: SC2 (Criteria: 0.0°C—6.0//°C, not frozen except sediment/tissue) . <br /> Temperature OC - 0.3 OC (CF) _ ?r • b °C f lank ❑ sample <br /> ❑ Sample(s) outside temperature criteria (PM/APM contacted by: ) <br /> ❑ Sample(s)outside temperature criteria but received on ice/chilled on same day of sampling. <br /> ❑ Received at ambient temperature, placed on ice for transport by Courier. <br /> Ambient Temperature: ❑ Air ❑ Filter Checked by: <br /> CUSTODY SEALS INTACT: <br /> - Cooler ❑ ❑ No (Not Intact) ❑ Not Present ❑ N/A Checked by: Z <br /> ❑ Sample ❑ ❑ No (Not Intact) 2f Not Present Checked by:�w v <br /> SAMPLE CONDITION: Yes No N/A <br /> Chain-Of-Custody(COC) document(s) received with samples................... ❑ ❑ <br /> COC document(s) received complete................................................... a SPI ❑ <br /> Collection dat time,matrix,and/or#of containers logged in based on sample labels. a <br /> U <br /> ❑ No analysis requested. ❑ Not relinquished. ❑No date/time relinquished. <br /> Sampler's name indicated on COC..................................................... 1�1 ❑ ❑ <br /> Sample container label(s) consistent with COC..................................... ❑ ❑ <br /> Sample container(s) intact and good condition...................................... ❑ ❑ <br /> Proper containers and sufficient volume for analyses requested............... ❑ ❑ <br /> Analyses received within holding time................................................. ❑ ❑ <br /> Aqueous samples received within 15-minute holding time <br /> ❑ pH ❑ Residual Chlorine ❑ Dissolved Sulfides ❑ Dissolved Oxygen........... ❑ ❑ <br /> Proper preservation noted on COC or sample container.......................... ❑ ❑ <br /> ❑ Unpreserved vials received for Volatiles analysis <br /> Volatile analysis container(s)free of headspace..................................... ❑ ❑ 2y <br /> Tedlar bag(s)free of condensation...................................................... ❑ ❑ J <br /> CONTAINER TYPE: <br /> Solid: 04ozCGJ 08ozCGJ 016ozCGJleave ( ) ❑EnCoreso ❑TerraCoreso ❑ <br /> Aqueous: ❑VOA ❑VOAh 0VOAna2 0125AGB 0125AGBh 0125AGBp 01AGB ❑1AGBna2 ❑1AGBs <br /> 11500AGB 11500AGJ ❑500AGJs ❑250AGB ❑250CGB 0250CGBs ❑1PB ❑1PBna ❑500PB <br /> ❑250PB 0250PBn 0125PB ❑125PBznna 0100PJ 0100PJna2 ❑ ❑ ❑ <br /> Air: ❑Tedlaro ❑Canister Other: ❑ Trip Blank Lot#: Labeled/Checked by: P�/ <br /> container: c:Clear A:Amber P:Plastic G:Glass J:Jar B:Bottle Z:Ziploc(Resealable Bag E:Envelope Reviewed by: Z <br /> Preservative: h:HCL n:HNO2 na2:Na2S209 na:NaOH p:H2PO4 s:H2SO4 u:Ultra-pure znna:ZnAc2+NaOH f:Filtered Scanned by 779 <br /> rs 1,—« IN SOP T100_090(06102114) <br />
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