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COTGYJ4YD
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WING LEVEE
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12021
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2500 – Emergency Response Program
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COTGYJ4YD
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Entry Properties
Last modified
4/7/2023 4:10:00 PM
Creation date
4/7/2023 4:05:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COTGYJ4YD
PE
2546
STREET_NUMBER
12021
STREET_NAME
WING LEVEE
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
18921009
ENTERED_DATE
2/25/2023 12:00:00 AM
SITE_LOCATION
WING LEVEE ROAD
RECEIVED_DATE
2/25/2023 12:00:00 AM
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\bmascaro
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EHD - Public
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CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <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 (20) 500-1848 <br />Certificate No. 2480 <br />PAGE \ OF <br /> <br />Customer: PG&E Stockton SAMPLE TYPE composite(c) discrete/grab(d) SAMPLE MATRIX soil(s) liqutd(I) vapor(v) other (o) REQUESTED ANALYSES NUMBER OF CONTAINERS I Method of Shipment: (, <br />0 U‘l0(.f."Xe...CC-‘d Address: 4040 West Lane BTEX/MTBE/TPH-GAS 8021/8015 I TPH-DIESEL - 8015 TRPH 418.1M / 8M55200 & F Oxy's / EDB / DCA by 8260 _ 8260 - full list PCBs - 8082 Electronic Deliverables (EDF) City/State/ZIP: Stockton, CA 95204 Notes: <br />of—) (...-)1 t•--f-jc2 A <br />Phone / FAX: (209) 942-1401 <br />Proj# / PO# /Global ID: <br />Report Attention: Alex Steele Larsen <br />Sampler Signature: ,a <br />Da <br />sie/ <br />Sampler Printed,Ufk4-26 (.7.--71/4-- <br />Lab ID# SAMPLE ID DATE TIME DESCRIPTION/LOCATION OBSERVATIONS/REMARKS <br />t'i "-)c0 (-tUG. 277s23 1000 (Da. cpiL__. <br />(AleS7 LA,) 7-22-23 c6.0 0 ( OZ cDi <br />CA, o EL) 2--n-23 cts:.ccD <br />0 <br />Signature Printed Name Date Time Company Name -3 Total number of containers <br />submitted to the laboratory <br />Relinquished by: ‘7,...0.0/y,_ koAL.3.._-. LAirt Sbs_ 2-2s23 PC.. (21— Turn Around Time: <br />Received by: F7---.-e-_,-2 4C-K2-5.1 R-t. e..„ -)<:-/:,),--1:-/ Z-111_, TAM 24 Hour I <br />Relinquished by: / 48 Hour I <br />Received by: 3 <br />5 <br />Day . I <br />Relinquished by: Day (Normal) <br />Received by: Special:
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