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CO0054506 (2)
Environmental Health - Public
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2500 – Emergency Response Program
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CO0054506 (2)
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Entry Properties
Last modified
1/20/2023 3:00:49 PM
Creation date
1/20/2023 2:59:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0054506
PE
2546
STREET_NUMBER
2723
STREET_NAME
TWIN BRIDGES
STREET_TYPE
LN
City
STOCKTON
Zip
95212
APN
12831016
ENTERED_DATE
12/9/2021 12:00:00 AM
SITE_LOCATION
2723 TWIN BRIDGES LN
RECEIVED_DATE
12/9/2021 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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CAJ <br />CD <br />0 -n <br />^ 0217Z ON @leo' CASTLE ANALYTICAL LABORATORY Acioisno JO NIVHO Received by: Relinquished Received by: Relinquished by: Received by: Signature Relinquished by: 6.11)1_ 11 Lab ID# I I Sampler Printed: ONG-- LAPS el; ISampler Signature: IReport Attention: Alex Steelfa.),Vve Larsen Proj# / PO# /Global ID: 11 t eoc.i csczoov__ I Phone / FAX: (209) 942-1401 I City/State/ZIP: Stockton, CA 95204 IAddress: 4040 West Lane Customer: PG&E Stockton (9 <br />ct-1.-e <br />0 <br />0 <br />g cc <br />r- - <br />t- <br />ga <br />.;, - - <br />v- — SAMPLE ID <br />c.) & <br />3 <br />('' .31 <br />rl <br />..... DATE I <br />uJ <br />0 <br />s0 <br />---. <br />0 <br />0 m <br />----70.. <br />(...,A,._ <br />...P. <br />, \ 1 <br />rs._ A 1 <br />C Printed Name , <br />Q <br />0 <br />0 <br />„- 2 <br />I <br />0 DESCRIPTION/LOCATION SAMPLE TYPE <br />composite(o) discrete/grab(d) <br />*- U Date SAMPLE MATRIX <br />soil(s) liguid(I) vapor(v) other (o) <br />---..,.._..... ,., BTEX/MTBE/TPH-GAS 8021/8015 REQUESTED ANALYSES <br />,....7,! TPH-DIESEL - 8015 <br />sl (19 TRPH 418.1M / SM5520C & F I company Name Oxy's / EDB / DCA by 8260 <br />Cs) <br />8260 - full list <br />$ \ N <br />PCBs - 8082 <br />kl <br />g.' <br />Electronic Deliverables (EDF) <br />.-, ..-- NUMBER OF CONTAINERS rn Around Time: 4 Hour I I 8 Hour I Day I I Day (Normal) I Z I Total number of containers submitted to the laboratory OBSERVATIONS/REMARK-S1 Notes Z Ql..)S\\ Method of Shipment: OCL-1 Veda-Ea
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