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SR0084372_SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0084372_SSNL
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Entry Properties
Last modified
11/3/2021 1:12:42 PM
Creation date
11/1/2021 10:47:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084372
PE
2602
STREET_NUMBER
476
Direction
N
STREET_NAME
PATTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
10313015
ENTERED_DATE
10/19/2021 12:00:00 AM
SITE_LOCATION
476 N PATTON AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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McCampbell Analytical, Inc. CHAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> 1534 Willow Pass Rd <br /> f; Pittsburg,CA 94565-1701 WorkOrder: 2109E30 ClientCode: PLGC <br /> (925)252-9262 FWaterTrax [_]CLIP [_]EDF EQuIS ]Dry-Weight 'Email ❑HardCopy ❑ThirdParty ❑J-flag <br /> Detection Summary ❑Excel <br /> Report to: Bill to: Requested TAT: 5 days; <br /> Daniel Kramer Email: dkramer@petralogix.com Accounts Payable <br /> Petralogix cc/3rd Party: tscheftner@petralogix.com; Petralogix <br /> 26675 Bruella Road PO: 26675 Bruella Road Date Received: 09/28/2021 <br /> Galt, CA 95632 Project: NLS/SSS Stockton Galt, CA 95632 Date Logged: 09/28/2021 <br /> (209)400-5729 FAX: <br /> Requested Tests(See legend below) <br /> Lab ID Client ID Matrix Collection Date Hold 1 2 3 4 5 6 7 8 9 10 11 12 <br /> 2109E30-001 DW Water 9/28/2021 13:20 ❑ A B A <br /> 2109E30-002 Trip Blank Water <Not Provided> ❑ A <br /> Test Legend: <br /> 1 300_1_W F2 524 3 504 W nPRDisposal Fee <br /> F <br /> 5 © s� ®� <br /> 9 10 11 12 <br /> Project Manager: Rosa Venegas Prepared by: Valerie Alfaro <br /> Comments: <br /> NOTE: Soil samples are discarded 60 days after results are reported unless other arrangements are made(Water samples are 30 days). <br /> Hazardous samples will be returned to client or disposed of at client expense. <br /> Page 8 of 11 <br />
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