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CO0051599
Environmental Health - Public
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26 (STATE ROUTE 26)
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2500 – Emergency Response Program
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CO0051599
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Entry Properties
Last modified
11/20/2024 8:49:40 AM
Creation date
3/3/2021 2:46:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0051599
PE
2546
STREET_NUMBER
16644
STREET_NAME
STATE ROUTE 26
City
LINDEN
Zip
95236
APN
10509001
ENTERED_DATE
2/10/2020 12:00:00 AM
SITE_LOCATION
16644 E ST RT 26
RECEIVED_DATE
2/10/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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1�50 U <br /> CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <br /> Location2333 Shuttle Drive, Bldg 908/909, Atwater,CA 95301 Certificate No. 2480 <br /> Mailing Address: 2333 Shuttle Drive,Atwater, CA 95301 PAGE 1 OF <br /> Phone: 209 384-2930 - Fax: 209 500-1848 <br /> Customer: PG&E Stocktono REQUESTED ANALYSES Method of Shipment: <br /> Address: 4040 West Lane _ 0EU t�12 <br /> City/State/ZIP: Stockton, CA 95204 w m F � 0 � � z Notes: <br /> U m <br /> Phone/ FAX: (209) 942-1401 o U)n z <br /> ¢ <br /> Z <br /> Pro#/ PO#/Global 6? =R <br /> o <br /> a a <br /> Report Attention: Alex Steele D e Larsen � a t E3 g m 2 � <br /> U w <br /> Sampler Signature: �--- y W a � <br /> E M <br /> Sampler Printed: 6Q)F— C 8 W o w Z <br /> s <br /> Lab ID# SAMPLE ID DATE TIME DESCRIPTION/LOCATION N m OBSERVATIONS/REMARKS <br /> - 2 2.1C y ►?',c-,C) 02 CD �- 1 <br /> z to c6'. L- <br /> -2-102J. 4 -00 <br /> -102J -00 Z di L t <br /> hE�J 2A 02 0� L <br /> o a number o containers <br /> Signature Printed Name Date Time Com an Name submitted to the laboratory <br /> Relinquished by: /jL_ f'� -1 Z'.1 � " �pp Turn Around Time: <br /> Received by: - G C 2 24 Hour <br /> Relinquished by: 48 Hour 0 <br /> Received by: 3 Day 0 <br /> Relinquished by: 5 Day (Normal) 0 <br /> Received by: Special: 2 k-�Q <br />
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