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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WINTERS
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2900 - Site Mitigation Program
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PR0545906
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COMPLIANCE INFO
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Entry Properties
Last modified
5/28/2021 3:06:58 PM
Creation date
5/28/2021 1:16:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0545906
PE
2961
FACILITY_ID
FA0025960
FACILITY_NAME
BECK DEVELOPMENT CO
STREET_NUMBER
141
STREET_NAME
WINTERS
STREET_TYPE
DR
City
MANTECA
Zip
95336
CURRENT_STATUS
02
SITE_LOCATION
141 WINTERS DR
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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CHAIN OF CUSTODY <br />L-- cic,S <br />CLIENT NAMEaC-kbPAVEIDOiN&Q4 JOB NUMBER: S ric,L) PRESERVATIVES <br />ANALYSIS REQUESTED TURN AROUND TIME <br />.. i <br />LOG 1.1J? . 1489 Hci I 24 HOUR 48 HOUR 1 WEEK 2 WEEK <br />FIELD <br />War <br />CONDITIONS: <br />-M. <br />ADDRESS. LABORATORY: <br />31-0C_kAOM W AEMC <br />PROJECT NAMETI7C k-IcAre (covn-1-- <br />11855 While Rock Road <br />Rancho Cordova, CA 95670 <br />ID <br />COMPOSITE: <br />• <br />PROJECT MANAGER.-5 t xv,. r • OTHER: <br />\in SAMPLED BY- .1 _Crt3 <br />-Tht-eS2-4‘-'•e. JOB DESCRIPTION: t ti _ <br />SITE LOCATIONIVel5 Ei7tir5 <br />DATE TIME SAMPLE ID SAMPLE <br />DEPTH <br />SAMPLE <br />METHOD TYPE CONTAINER <br />NO. TYPE <br />N <br />NOTES/FIELD READINGS <br />)-.1 o5 C5 -2-3-S --1 ItAdrtvn WI birzsAchc -\ \ N N S id <br /> <br />RELINQUISHED BY DATE/TIME RECEIVED 8'4 DATE/TIME REMARKS <br />11 • 1 A (0-2CHStif I -3 :07 /2/Aladid_41 <br />S ECIAL INSTRUCTIONS: <br /> e"; b6Q--I ictr. 3o964 <br />PRESERVATIVES: (I) = HCL (111.= COLD-) <br />RELINQU II ED BY 1 DATE/TIME RECEIVED BY DATE/TIME REMARKS (2) = HNO (4) = <br />SUSPECTEAlotarilfUTENTS: <br />I <br />LAB TO SEND RESULTS TO: <br />Logkeeper <br />RELINQUISHED BY DATE/TIME RECEIVED BY DATE/TIME REMARKS -12)10.0 <br />LOGKEEPER DISTRIBUTION: SAMPLE RETENTION TIME: <br />SHIPPED VIA: FEDX II UPS 111 OTHER mi AIRBILL #: Original Copy <br />_, AMERICAN <br />ENVIRONMENT/XL MANAGEMENT Corp. WHITE/CANARY - LAP COPY PINK- LOGKEEPER COPY GOI DENROD - PROJECT MANAGER COPY
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