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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0540433
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Last modified
7/27/2020 9:10:25 PM
Creation date
7/27/2020 4:03:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0540433
PE
2953
FACILITY_ID
FA0023104
FACILITY_NAME
FORMER MANTECA POLICE FIRING RANGE
STREET_NUMBER
2516
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
24131044
CURRENT_STATUS
01
SITE_LOCATION
2516 W YOSEMITE AVE
P_LOCATION
04
QC Status
Approved
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EHD - Public
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® McCAMPBELL ANALYTICAL, IN . CHAIN OF CUST RECORD <br /> 1534 WILLOW PASS ROAD _ TURN AROUND TIME ❑ .� - ❑ ❑ ❑ <br /> PITTSBURG,CA 94565-1701 <br /> OO I RUSH HR 48 HR 72 HR 5 DAY <br /> Website:www.mccamobell.com Email: mai n@mcca beeont <br /> Telephone:(877)252-9262 Fax: (925)252-9269 GcoTracker EDF ❑ PDF ❑ Excel ❑ Write On (DW) ❑ <br /> ❑ Check if sample is effluent and "J" flag is required <br /> Report To: Beadle and day @ Geocon Bill To: Same Analysis Request Other Comments <br /> Consultants <br /> Company: Geocon Consultants,Inc "Indicate <br /> 6671 Brisa Street,Livermore,CA 94550 c <br /> a here if these <br /> samples are <br /> E-Mail:dayQeeoconine.com and beadWgeoconinccom s s potentially <br /> -Tele: 92 371-5900 Cell 92 395-1669 e _ dangerous to <br /> Project#:E8857-02-02 Project Name: Manteca Firing Range d handle: <br /> Project Location: Mant CA a s d d o <br /> '✓: �' v x U U ac m y, <br /> Sampler Si nature: ° a c o ° a o 0 <br /> METHOD c $ ti <br /> SAMPLING MATRIX 14 <br /> y ati�i PRESERVED a --. 9 U Z v m a'�o m ,��„ ,��„ m p <br /> LOCATION/ e °tv 4 <br /> SAMPLE ID _Field Point Name Dat <br /> E f S <br /> - - <br /> U U z <br /> a F 3 V1 d V] � V. S 'S 0 f f u o <br /> CONE -5UI <br /> JJ:a Ia lS <br /> 01b <br /> SW 4l <br /> b2o <br /> --MAI clients MUST disclose any dangerous chemicals known to be present in their submitted samples in concentrations that may cause immediate harm or serious future health endangerment as a result of brief. <br /> gloved,open air,sample handling by MAI staff.Non-disclosure incurs an immediate$250 surcharge and the client is subject to full legal liability for barm suffered. Thank you for your understanding and for <br /> allowin us to work safely. <br /> d By: Date: Time: R �7 ICEIr COMMENTS: <br /> �7 /s"� / GOOD CONDITION_ <br /> !/ HEAD SPACE ABSENT <br /> linquished llyf Date Time: eceived By: DECHLORINATED IN LAB_ <br /> APPROPRIATE CONTAINERS_ <br /> PRESERVED IN LAB <br /> Relinquished By: Date: Time: Received By: <br /> VOAS O&G METALS OTHER <br /> PRESERVATION HQ <br /> Page 8 of 9 <br />
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