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Environmental Health - Public
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2900 - Site Mitigation Program
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PR0508504
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COMPLIANCE INFO
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Entry Properties
Last modified
2/14/2020 10:05:22 PM
Creation date
2/14/2020 2:51:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0508504
PE
2950
FACILITY_ID
FA0008119
FACILITY_NAME
HOME DEPOT
STREET_NUMBER
0
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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U U )eai, ve • vooi' " ' <br /> l;F .. .. S3 • . _) 36. .....1U 1 .. .SSU; ..... , 2`,,. <br /> SEQUOIA ANALYTICAL ❑ 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> 0 404 N.Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> CHAIN OF CUSTODY ❑ 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> ❑ 1551 Industrial Road • San Carlos, CA 94070• (650) 232-9600 FAX (650) 232-9612 <br /> Company Name: �� Project Name: <br /> Mailing Address: `- D`04 Billing Address (if different): <br /> City: �•�� State: Zip Code: S� : E i ". <br /> Telephone: ),j CQ 3 FAX # 7 Jr- C05-01? P.O. #: <br /> Report To. �� Sampler: sia �' ,�, OC Data: Ll Level II (Standard) ❑ Chromatograms CJ Level III ❑ Level IV v <br /> Y <br /> TurnaroundU 7 Working Das ❑2 Working D ❑Drinking Water Analyses Requested <br /> Time: ia s Ild 5 Workif ays ❑ 1 Working Day ❑Waste Water <br /> ❑ 3 Working Days 0 ASAP J1(Other <br /> Client Date/Time Matrix # of Cont. Sequoia's �� Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # <br /> VC 4,160 <br /> t - r�a,� Oce ca <br /> 0 <br /> Li-2. �r w J ,� I✓�r/ 3�� 050'x'7 K 0< X �"PH-� ct 5 �n <br /> 3. Cr �✓— 3 �" r�/� �✓��i 7 = <br /> 050777D� DC D� o� ���- as a <br /> 4. �J 1_� <br /> } <br /> 5. <br /> 6. <br /> cU <br /> 7. o <br /> ZI <br /> CT <br /> a) <br /> 8. U) <br /> m <br /> 9. L <br /> 10. <br /> Relinquished By: Date:S /.) Time: 999 Received By: Date: <br /> Relinquished By: Da ime: Received By: ��� Date: Time: <br /> Relinquished By: ��- Date: Time: Received By Lab: C Date: Time: <br /> Were Samples Received in Good Condition? U Yes ❑ No Samples on Ice? ❑Yes ❑ No Method of Shipment Page of <br />
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