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COAPSN5XI
Environmental Health - Public
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I-5 SOUTH BOUND
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2500 – Emergency Response Program
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COAPSN5XI
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Entry Properties
Last modified
8/3/2023 10:01:18 AM
Creation date
8/3/2023 9:57:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COAPSN5XI
PE
2546
STREET_NUMBER
0
STREET_NAME
I-5 SOUTH BOUND
City
STOCKTON
Zip
95219
ENTERED_DATE
2/2/2022 12:00:00 AM
SITE_LOCATION
SB I-5 NORTH OF HAMMER LANE
RECEIVED_DATE
2/2/2022 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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CASTLE ANALYTICAL LABORATORY lo -& 2) 02 ooq <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 />Phr,n • - - Fy• - <br />ELAP Certificate No. 2480 <br />PAGE ( <br /> <br />i <br />Customer: 5//9 p /,44'5 SAMPLE TYPE composite(c) discrete/grab(d) SAMPLE MATRIX soil(s) liquid(I) vapor(v) other (o) REQUESTED ANALYSES NUMBER OF CONTAINERS I Method of Shipment: <br />Address: et,MTBE/TPH-GAS 8021/8015 i'1317-DIESEL/ MOTOR OIL - 8015B ,..._ TRPH 418.1M / SM5520C & F Oxy's / EDB / DCA by 8260 8260 Volatiles- full list PCBs - 8082 Electronic Deliverables (EDF) City/State/ZIP: Notes: <br />Phone / Email: <br />Project# / PO# / Global ID: ,7" r <br />Report Attention: Attention: <br />Sampler SignatureL \ <br />Sampler Printed: Z.,1S6t/7 4- ibia"--Aravt) <br />Lab ID# SAMPLE ID TIME DESCRIPTION/LOCATION OBSERVATIONS/REMARKS z7., <br />Signature Dat7 Time Company Name <br />Total number of containers <br />submitted to the laboratory <br />Relinquished by: .„.....,,---------- <br />Printed N.7., <br />.4.,177 2fr.-p/ 3r."-K 4 ,3 Turn Around Time: <br />IIII••••••--- <br />Received by: 0 1 4,,t 0-7 (..' i ,. U ,-„,...e._ .2. iv,,, / 513 (1,2. ,,,),„, illidayjiZa_e 24 <br />48 <br />Hour <br />Relinquished by: Hour I I <br />Received by: 3 Day <br />Relinquished by: 5 Day (Normal) fl <br />Special: Received by:
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