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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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120 (STATE ROUTE 120)
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2900 - Site Mitigation Program
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PR0516706
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FIELD DOCUMENTS
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Entry Properties
Last modified
11/19/2024 4:01:08 PM
Creation date
5/13/2020 3:27:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0516706
PE
2950
FACILITY_ID
FA0012748
FACILITY_NAME
CALTRANS RIGHT OF WAY
STREET_NUMBER
0
STREET_NAME
STATE ROUTE 120
City
MANTECA
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
HWY 120
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SPARGE. . TECHNOLOGY, INC. CHAIN OF CUSTODY RECORD <br /> 21 <br /> Analytical Laboratory Phone:(916)362-8947 C.O.C. NO. 26752 <br /> 3050 Fite Circle,#112 Sacramento,CA 95827 FAX: 916 362-0947 Page of S STAL Invoice Number: ' <br /> Company: /1— W,--ut-,-V Phone: K �9-1-8`30&v ANALYSIS REQUEST <br /> Project Manager: (fl/1/ 3 FAx: (9J L) 9� -�39 REMARKS: 48 ®U� Sampler's Name: <br /> Report Address: Billing Name&Address: ( j <br /> rG All None Some <br /> Project Name: Project/Job#: OK OK OK WET STLC <br /> C��f-it s P6 `;� Yf L/-7-( D/c f Cooler Temp. °C P"- <br /> Project Locadont _ . . ROI: Sample Condition TCLP <br /> pH <br /> Preservative TCLP Total <br /> Sam ling Container Used Matrix TAT <br /> w N N <br /> m O .- <br /> F— co co <br /> � N L <br /> 0 0 ,� ao Z <br /> in N N 2 d — ;a: Im <br /> LO �«;,,tet a s in acc 0<eWLO <br /> 7 �n o E N y U N N m <br /> co <br /> C\J LO <br /> W co <br /> co 00 <br /> O J .. Z .. .. a d O O O O N N o V .•- �fl Rf way. JE mm am X m ca cD a EoL = r — Lw w = a a a a a a P,�; ID. Dab Time IT m N X z o to o m m w w w w w w z o o <br /> =_ IP 0 6-f0 <br /> iS�S X 5c <br /> 8' <br /> 7 <br /> a <br /> 9 <br /> 10 <br /> Ree y: Re ived ba Relinquished by: Received by: <br /> Date: 2 ���/ Time: Date:Z,U/ej Time: J C `fa Date: _ Time: Date: Time: <br /> PL = RE IEVEM SID R TI i Af,413 S <br />
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