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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545390
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/5/2020 10:30:17 AM
Creation date
3/5/2020 9:00:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545390
PE
3528
FACILITY_ID
FA0003109
FACILITY_NAME
COUNTRY MARKET
STREET_NUMBER
10476
Direction
W
STREET_NAME
LINNE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
25312030
CURRENT_STATUS
02
SITE_LOCATION
10476 W LINNE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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L7 � 71�T RECORD <br /> 11 AIkIF � T41nE ? t�2' <br /> Billing Information : CHAIN-OF-CUSTODY >R r'CORD C n Page: 1 of 1 <br /> Alpha Analytical, Inc. WorkOrder .: ALSR14030442 <br /> 255 Glendale Avenue, Suite 21 Sparks, Nevada 89431 -5778 <br /> TEL: (775) 355-1044 FAX: (775) 355-0406 Report Due By : 5:00 PM On : 18-Mar-14 <br /> Client: Report Attention Phone Number EMail Address <br /> Antes Group Nicole Persaud (407) 75&3428 x nicole.persaud(a3anteagroup.com <br /> 1155 N. First Street, Suite 201 EDD Required : Yes <br /> Sampled by : S. Morden <br /> San Jose, CA 95112 <br /> PO : CTRYMRT.001 Cooler Temp Samples Received Date Printed <br /> Client's COC # : 16406 Job : CTRYMRT/CTRYMRT Phase II 30C 04-Mar-14 23-Dec-14 <br /> OC Level : S3 = Final Rpt, MBLK, LCS , MS/MSD With Surrogates <br /> Requested Tests <br /> Alpha Client Collection No. of Bottles METALS_$ TPH/P S TPH/P_W v°c_s voc_w <br /> Sample ID Sample ID Matrix Date Alpha Sub TAT ° Sample Remarks <br /> ALS14030442-01A SB-1d 10.0 SO 02128114 <br /> 1050 1 0 10 Pb I GAS-c I BTAFLWI,z <br /> DCA C <br /> ALS14030442.02A SB-1d20.0 SO 0228!14 1 0 10 ro GAS-c eTxPmg1,2 <br /> 11 :30 DCA C <br /> ALS14030442-03A SB-2d 5. 0 SO 02/28/14 1 0 10 Po GAS-C BTxFl1W1,2 <br /> 11 :50 -DCA_c <br /> ALS14030442-04A SB-2d 10.0 SO 1 0228/14 1 0 10 Pe GAS-c ETXFJM/�C <br /> 11 :55 z <br /> DCA_ <br /> ALS14030442-05A GW-1 All 02/28/14 3 0 10 GAs-c BTxE 1,2 <br /> 1DCA C <br /> 370 <br /> Comments: Security seals intact Frozen ice. Total Xylenes Amended 3/10/14 to comet VOC sampling state due to login evor. SN Amended 12/23/14 to add 1 2-DCA to all samples. per Regina NIL_: <br /> Signature Print Name Company Date/Fime <br /> Logged in by: Alpha Analytical, Inc. <br /> NOTE: Samples are discarded 60 days after results are reported unless other arrangements are made. Hazardous samples will be returned to client or disposed of at client expense. <br /> The report fpr the analysis of the above samples is applicable only to those samples received by the laboratory With this COC. The liability of the laboratory is limited to the amount paid for the report. <br /> Matrix Type : AO(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type: L-Liter V-Voa S-Soil Jar 0-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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