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Environmental Health - Public
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2500 – Emergency Response Program
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Entry Properties
Last modified
5/2/2023 1:33:41 PM
Creation date
4/13/2023 3:52:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO5ISMEIV
PE
2546
FACILITY_NAME
GREENVIEW FARMS LLC
STREET_NUMBER
0
STREET_NAME
MANILA
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19127024
ENTERED_DATE
5/7/2021 12:00:00 AM
SITE_LOCATION
0 MANILA RD
RECEIVED_DATE
5/7/2021 12:00:00 AM
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\bmascaro
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EHD - Public
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J. ROI CHAIN OF CUSTODY IRO! OM TM <br />Analytical Laboratory <br />1 1 <br />Work Order No. 2020807 <br />Illent Name <br />Greenview Farms, LW <br />-Project Name <br />Hazardous Waste Soil Profile <br />Requested Analyses EDD Hequuement Requested Turn Around <br />p. <br />pa <br />CO <br />4g S <br />0 <br />E <br />oa o 0 u <br />(V 0:!:. <br />u 0 <br />o., <br />co E o on v, <br />2 <br />on <br />Li <br />Li <br />Li -6 <br />Si <br />Li <br />r=. gni -• <br />cC .6 <br />Excel [DO <br />Geotracker <br />TWO upload <br />Rush requests subject to <br />additional charge. <br />Rush requests subject to lab <br />approval. <br />awn Contact <br />Sandeep Sanhu <br />Project Number <br />Hazardous Waste Soil Profile <br />Address <br />130W Invitar Ln <br />Pre4ect Desolation QA/CIG <br />Regulator <br />State Specify: <br />0 <br />0 City <br />Mounain House <br />PO Number <br />State/2 <br />CA, 95391 <br />Shipped By Specify: Standard (days) <br />Phone <br />(510) 648-8878 / <br />Fax Matrix Global ID Expedited (days) <br />Sediment Other <br />Sampler „Se,pler nature Potable System ID Due Date <br />Jonathan H.V. Le Waste W Surface <br />Preservation Code <br />Sample Type <br />Code <br />Matrix <br />Code <br />Container <br />Count 1::a 1 ::a <br />4 2 2 <br />Laboratory Work Order No. / ID <br />Bottom Canal <br /> Time <br />Ittoo <br />Sample Condition Temperature <br />/cav <br />Carizene_ <br />Laboratory Work Order No. / <br />sample ID <br />3935 N. Coronado Ave, Stockton CA. 95204 Phone: (209) 477-8105 Page of <br />Relinqu eel • <br />ir 7/g_..z....- <br />Date/Ti <br />/.--. <br />Reverend Date/Ties...6o SAMP UNG <br />Special Instruction ""........., <br />.05//,(- <br />Re nqu eel By <br />Date/Tbne eel By Date/Time COMPOSITE SAMPLER SETUP: <br />Sampler (s) <br />Relinquished By Date/Time Received By Date/Time Date Setup Time <br />comment: Cooler Numbers and Temperatures <br />Default Cooler at 8 QC <br />Manor Codes: SvSoll <br /> <br />Preserv. Codes: 1=510re cool at VC <br />Cont. Codes a=Metal Core <br />Page 2 of 2
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