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CO0054779 (2)
Environmental Health - Public
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2200 - Hazardous Waste Program
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CO0054779 (2)
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Entry Properties
Last modified
11/19/2024 10:19:26 AM
Creation date
6/29/2022 3:16:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
RECORD_ID
CO0054779
PE
2200
STREET_NUMBER
3566
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95304
APN
23906018
ENTERED_DATE
3/28/2022 12:00:00 AM
SITE_LOCATION
3566 W ELEVENTH ST
RECEIVED_DATE
3/28/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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General COC MAI Work Order ft c2.-1 D74°1472- <br /> <br />, <br />McCAMPBELL ANALYTICAL, INC. <br />Pass Rd. Pittsbure. Ca. 94565-1701 <br />(877) 252-9262 / Fax: (925) 252-9269 <br />.com mainamccampbell.com <br />CHAIN OF CUSTODY RECORD <br />1534 Willow <br /> <br />Around turn lime. <br /> <br />rn s Da Rush ) 2 Day Rush 3 Da Rush . sTi) • Quote 4 <br />11-5 Telephone: .1-Flag / Ml)!. ESI. Cleanup Approved Dry Weight • Bottle Order # <br />www .mccampbell Delivery Format: PDF • GeoTracker IMF _ MD Write On (DW) Deket Summary <br />Report To: Alex Lim Bill TO: Atlas Analysis Requested <br />Company: Atlas Technical Consultants Multi Range as Gas, Diesel, and Motor W Oil (8021/8015) 111'EN 8:1141 as Gas (8021/ 8015) ArrnE '1141 as Diesel (8015) + Motor Oil Without Silica Gel TP11 as Diesel (8015) + Motor Oil With Silca Gel F.1 <br />2 <br />:.1 <br />0 u <br />:7=7 1 Total Petroleum Hydrocarbons - Oil St Grease (1664 /9071) With Silica Gel 'total Petroleum Ilydrocarbons (418.1) , With Silica Gel L <br />. - cc . <br />= .f. , <br />.. <br />, <br />_ <br />= ,.., ...: IEPA 524.2/ 624 / 8260 (VOCs) 1 EPA 525.2 625 / 82711 (SVOCs) EPA 8270 SIA1 / 8310 (PAD% / PNAs) gi <br />— <br />cc , _ <br />- 7. 'Metals (200.8 / 6020)* Illaylands Requirements !Lab to filter sample tor dissolved metals analysis Run STLC and TCLP based on 111,20x flu,11 CARB 435 Address: 2001 Crow Canyon Road, Suite 200, San Ramon, CA 94583 <br />Email: alex.lim@oneatlas.com Tele: <br />Project Name: FUHSD Project 4: 91-57962-PW <br />Project Location: Sunnyvale PO # GEO-6296 <br />Sampler Signature: , 4-6.,' <br />_ <br />SAMPLE ID <br />Location / Field Point <br />Sampling 9. <br />5 <br />_. <br />r <br />Matrix Preservative <br />Date Time <br />B1 @ 4' 2/16/21 0953 1 Soil • • • <br />B2 @ 2' 2/16/21 0800 1 Soil • • • • • • • 0 <br />B3 @ 1'-4' 2/16/21 1310 1 Soil • • • • • • • • <br />B4 @ 2 2/16/21 1110 1 Soil • • • • • • • 0 <br />MA! clients MUST disclose any dangerous chemical known to be present in their ubmitted samples in concentrations that may cluse immediate harm or serious future heal h endangerment as a result of brief, gloved open air, sample handling b.. MAI staff. <br />Non-disclosure incurs an immediate $250 surcharge and the client is subject to full legal liability for harm suffered Thank you for your understanding and fbr allowing us to %ork safely. <br />* If are requested fm water samples and the water t. pe (Matrix) is not specified on the chain of custody, MAI will default to metals by 11200X Comments /Instructions <br />,n 4 <br />Please provide an adequate volume of sample. If the volume is not sufficient fir a MSAISD a I.CS/LCSD will be prepared in its place and noted in the report. <br />Relinquished Ily / Company Name Date 'lime Receive0 13y I Company. Name Date Time <br />1(a ( 0 t iCAr- 4:- WE/ jr-4 , 1, <br />40 d <br />.., 2—// 7/i i I 3 I 7/ <br />r7,1- 27/74 / /yy r 11111b d o 2'f I 414/C <br />--„T Matrix Code: DW-Drinkimt Water. GW-Ground Water. WW=Waste Water. SW=Seawater. S- 'oil. SL-Siliyii2e. " it-. WP-Wipe. 0=Other <br />Preservative Code: I-4 5C 2-I-ICI 3-II,SO, 4 -1-INO, 5-Na0I-I 6-Zn0Ac/NaOH 7-No e 1 1 L- Temp P' <br />\\1-1 <br />Initials <br /> <br />Pace Page.47 of 68
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