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CO2FIRRWH (2)
Environmental Health - Public
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2500 – Emergency Response Program
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CO2FIRRWH (2)
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Entry Properties
Last modified
3/23/2022 10:28:00 AM
Creation date
3/23/2022 10:22:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO2FIRRWH
PE
2546
STREET_NUMBER
550
Direction
W
STREET_NAME
WRIGHT
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
23926001
ENTERED_DATE
9/26/2020 12:00:00 AM
SITE_LOCATION
550 W WRIGHT RD
RECEIVED_DATE
9/26/2020 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\ymoreno
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EHD - Public
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CASTLE ANALYTICAL LABORATORY <br />Location: 2333 Shuttle Drive, Bldg 908/909, Atwater, CA 95301 <br />Mailing Address: 2333 Shuttle Drive, Atwater, CA 95301 <br />Phone: (209) 384-2930 - Fax: (209) 500-1848 <br /> <br />CHAIN OF CUSTODY <br />PAGE \ OF I <br /> <br />Certificate No. 2480 <br /> <br />Customer: PG&E Stockton SAMPLE TYPE composite(c) discrete/grab(d) SAMPLE MATRIX soil(s) liquid(I) vapor(v) other (o) REQUESTED ANALYSES NUMBER OF CONTAINERS Method of Shipmet <br />Oeu u6. <br />i.2.-ctri <br />Address: 4040 West Lane BTEX/MTBE/TPH-GAS 8021/8015 TPH-DIESEL -8015 TRPH 418.1M / SM5520C & F , Oxy's / EDB / DCA by 8260 8260 - full list PCBs - 8082 Electronic Deliverables (EDF) I City/State/ZIP: Stockton, CA 95204 Notes: <br />__> 0 (..ft- <br />c-C-Yr_Dc l l l 3 <br />Phone / FAX: (209) 942-1401 <br />Proj# / PO# /Global ID: (C9cz: L.,\)112_\' \--\ \ -C.\.. <br /> Attention:Alex Steele e Larsen <br />Sampler Signature ampler Signature <br /> <br />Sampler Printed: PO 6--raSt-7 L. <br />Lab ID# SAMPLE ID DATE TIME DESCRIPTION/LOCATION OBSERVATIONS/REMARKS <br />t.orz..11c2N- OA 9-2(02,1)13v k c:32_ ov C. V 1 <br />Company Name Signature Printed Name Date Time <br />Total <br />submitted <br />dber tothoef containers <br />laboratory <br />Relinquished by: Or•--.1—. OC\OE _\/--)()Z,S .E.L.) c(--a9-3...D .s..24 Pc- -, -& Turn Around Time: <br />24 Hour WI <br />48 Hour <br />3 Day I I <br />5 Day (Normal) I I <br />Special: <br />Received by: ,..-2,6,,ir.t.1 ri-x- e... •><-/ - kr 7 .61-L6,), 7 <br />Relinquished by: / <br />Received by: <br />Relinquished by: <br />Received by:
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