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ARCHIVED REPORTS_XR0008137
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0504943
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ARCHIVED REPORTS_XR0008137
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Last modified
6/18/2020 1:13:26 PM
Creation date
6/18/2020 12:09:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008137
RECORD_ID
PR0504943
PE
2951
FACILITY_ID
FA0004032
FACILITY_NAME
AMERICAN MOULDING & MILLWORK (FRMR)
STREET_NUMBER
2801
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11709001
CURRENT_STATUS
02
SITE_LOCATION
2801 WEST LN
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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B077LE ORDER FORM <br /> r <br /> r <br /> �-_16- A �y <br /> 3700 Lakeville Highway,Petaluma,CA 94954 <br /> P O Box 808024, Petaluma,CA 94975-8024 <br /> D&M LABORATORIES Telephone (707)763-8245 <br /> • FAX(707)763 4065 <br /> Client: Requested by: <br /> Address: Date: '] tj Time: ; (f]} <br /> Date Needed: 15 <br /> Attenflowat I Carrier. 0 J�� 4 <br /> Project: T C- Account Number:LL L C <br /> tJN►-5 <br /> Glass Containers <br /> I liter amber, no preservatives. collect.—L-per site per analysis: far one site provided for inhouse QC <br /> Semi-volatiles EPA62518270 Pesticides EPA 608/8080 <br /> Herbicides EPA 615/8150 ::=Diesel/Fuel fingerprints EPA 8015mod <br /> Polynuclear Aromatics EPA 610/8310 Organophosphorus Pesticides EPA 614/8140 <br /> Carbamate&Urea Pest. EPA 02/8318 Other <br /> 1 Itter amber, HCl preservative: collect:_per site per analysis: for one site provided for inhouse QC <br /> Oil& Grease(Grav) EPA 413 119070 Oil&Grease(IR) EPA 413 2 <br /> TRPH EPA 418 1 <br /> 40 ml volatile organic viakig4reservative: collect per analysis per site ** <br /> Vol dro (GC)60219020 +Na2S201 Vol Organics, (GC/MS) 624/8240 +N%S20, <br /> H Gasohne/B 8015mod 1602 +N%S203 <br /> NO : NaTS203 required for samples from chlorinated supply- indicate Y/N in space provided <br /> 40 ml VOA vial, H2SO4 preservative for Total Organic Carbon: collect per site <br /> 40 ml VOA vial, No Preservatives, Halogenated Hydro (GC) 601/8010 + NaS203 collect per este <br /> Plastic containers <br /> Metals, 1 liter with HNO, to pH C2 for <br /> Total NO3/NO2,TKN, NH3,TP04, COD,TOC 500 mis with H3SO,to pH C2 <br /> Cyanide,1 liter with NaOH to pH >12 <br /> Sulfide, 500 mdhhter with NaOH: ZnAc in separate contauser/add in the field <br /> General Mineral, 1 liter with HNO3& 1 liter with no preservative <br /> 1 liter, no preservative for <br /> 500 milhLter, no preservative for <br /> Jars <br /> 125 ml (4oz) 250m1(80z) 500ml(16oz) glass jars w/teflon lined lid <br /> - Or anti FMq water uest- <br /> * Filled 40 milliiter VOA vial, no preservatives for Tri Blank: rccommendod for* items <br /> ** =Fillod 40 milliliter VOA vial with HCL fo n 8 n • recommended for** items <br /> Filled one liter battle for preparation of field b for Volatile Organic analyses <br /> Paclan¢ A 123 W. bottle filled with tap water has been included for each ice chest for use as a temperature blank <br /> Chun of Custody (COC) Forms Preservative kit to include <br /> Packed in Ice chest MPreservatives added to bottles <br /> Special Instructions: <br />
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