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COTOCNSRL
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FRENCH CAMP
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4201
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2500 – Emergency Response Program
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Entry Properties
Last modified
4/27/2023 4:19:02 PM
Creation date
4/27/2023 4:02:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COTOCNSRL
PE
2546
STREET_NUMBER
4201
STREET_NAME
FRENCH CAMP
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
20103019
ENTERED_DATE
2/13/2023 12:00:00 AM
SITE_LOCATION
4201 FRENCH CAMP ROAD
RECEIVED_DATE
1/1/2023 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\bmascaro
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EHD - Public
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CASTLE ANALYTICAL LABORATORY C.c,6+ietD -D;3 01 0c) <br />Certificate No. 2480 <br />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: 209 500-1848 <br />PAGE \• OF t <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 Sh: <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) OE. OVEIV-0 ' .• _,. <br />City/State/ZIP: Stockton, CA 95204 Notes: <br />11CM e <br />Phone / FAX: (209) 942-1401 <br />Proj# / PO# /Global ID: L-1-2..c>1 --C;(2,1...1:\--t cniA,f e(.4 <br />Report Attention: Alex Steele e Larsen <br />Sampler Signature: <br />Sampler Printed: 1.A.—e, <br />Lab ID# SAMPLE ID DATE TIME DESCRIPTION/LOCATION OBSERVATIONS/REMARKS <br />A 1• I - 23 ‘2 :aD .,0) L___ I <br />Z j - .2,? t-2: IS— 1 0.2 oid c__ i <br />Signature Printed Name Date Time Company Name <br />Total 'number of containers 2_ submitted to the laboratory <br />Relinquished by: /1-45 7;N-: Turn Around Time: <br />24 Hour Kr <br />48 Hour <br />3 Day I <br />5 Day (Normal) I . <br />Specia1711NCI--)0A:j <br />Received by: --/---";)z, k, ii—G-t-- ‹..,.. ›cef:0) 7 <br />Relinquished by. <br />Received by: <br />Relinquished by: <br />Received by:
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