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COQS0ONYP (3)
Environmental Health - Public
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2500 – Emergency Response Program
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COQS0ONYP (3)
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Entry Properties
Last modified
11/19/2024 10:36:12 AM
Creation date
5/6/2021 1:53:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COQS0ONYP
PE
2546
STREET_NUMBER
0
Direction
S
STREET_NAME
I-5
City
TRACY
Zip
95304
APN
25505019
ENTERED_DATE
11/8/2020 12:00:00 AM
RECEIVED_DATE
11/7/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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0 Received by:‘---;.-------IFLLA-71.0/(-A---7 11c7.1 _P Relinquished by: Signature Lab ID# ISampler Printed:—"Prc.44---A.-.A) e-17_ ISampler IReport Attention: Project# / PO# / Global ID: 56/gefi4"( 7-/fce_VA- IPhone / Email: I City/State/ZIP: 'Address: Customer: 5/70-f) //;47741-4,0--/ \-1\ .... <br />r' WI <br />D <br />_....-->_ <br />,•-s '..< DATE C..) TIME .---) <br />4, <br />1 <br />--1) <br />' <br />1 <br />D <br />1`4 Printed Name t <br />\ <br />v <br />;'.'1..4 <br />"'' <br />.";-‘ 1 <br />, DESCRIPTION/LOCATION SAMPLE TYPE <br />composi e(c) discrete/grab(d) <br />---... --....., <br />-.-‹-z- <br />kV) <br />0 SAMPLE MATRIX <br />soil(s) liquid(I) vapor(v) other (o) <br />X BlciE9v1TBE/TPH-GAS 8021/8015 REQUESTED ANALYSES —I <br />P) <br />\x <br />TPH- DIESEL / MOTOR OIL - 8015B <br />TRPH 418.1M / SM5520C & F <br />P---* Company Name Oxy's / EDB / DCA by 8260 <br />8260 Volatiles- full list <br />PCBs - 8082 <br />Electronic Deliverables (EDF) Total number oF containers submitted to the laboratory Turn Around Time: 24 Hour 14 <br />NUMBER OF CONTAINERS OBSERVATIONS/REMARKS I Notes: Method of Shipment: :Aq pays!nbu!la
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