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CO00XXEXI
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ROTH
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2500 – Emergency Response Program
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CO00XXEXI
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Entry Properties
Last modified
10/20/2025 10:00:12 AM
Creation date
10/17/2025 3:26:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO00XXEXI
PE
2546 - Release/Spill Response (excluding Joint Team)
STREET_NUMBER
1000
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
LATHROP
Zip
95231
APN
19820001
ENTERED_DATE
10/6/2018 12:00:00 AM
CURRENT_STATUS
Closed
SITE_LOCATION
1000 East Roth Rd, Lathrop CA 95231
RECEIVED_DATE
10/6/2018 12:00:00 AM
P_LOCATION
07
QC Status
Approved
Scanner
SJGOV\bmascaro
Supplemental fields
Site Address
1000 E ROTH RD LATHROP 95231
Tags
EHD - Public
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TestAmedca <br /> t_-A!)Ui IN-, «��� Sample Receipt Record <br /> Batch Number: 1�'Li Zy'� Date Received: 1 — 16 <br /> Client/Project: Tom--- jz.Qyi<Scj �,� Received By: 41Af', <br /> Were custody seals intact? [� Yes ❑ No ❑ N/A <br /> Packing Material: Ice❑ Blue Ice❑ Box <br /> Tem OK? <6°C Therm ID: Expires: / /20 Observed:Sa °C,Actual Tem °C ❑ Yes ❑ No —N/A <br /> Was a Chain of Custody (CoC)Provided? / Yes ❑ No E] N/A <br /> Was the CoC correctly filled out? (If No, document below) /&Yes ❑ No ❑ N/A <br /> Were the sample containers in good condition (not broken or leaking)? Yes ❑ No ❑ N/A <br /> Are all samples within 36 hours of collection? ❑ Yes ❑ No N/A <br /> Method of Shipment: ❑ Hand Delivered, R FedEx, ❑ UPS, ❑ Greyhound, ❑ Other: _ _ ❑ N/A <br /> Sample Exception Report(The following exceptions were noted) <br /> o o cv .--Arno <br /> �_-� - = oxg zr rom-UG) <br /> o ac m tvtn= <br /> a y M(n Darr- <br /> N -� 'm^ � om D:tmz <br /> -� I C5 � -10 ,'i].+m0 <br /> oo C 7� r �Z KD M� <br /> j7 T iii TiMum rv<x <br /> 1" a vr�r <br /> WtD mD07 <br /> z — Its m <br /> - - p ram oIT <br /> r- Az' to <br /> C� = W r <br /> W r m <br /> Client was i <br /> CZ11 <br /> Resolution <br /> D t7 <br /> C __ 11'1 <br /> O - _ __ r m••sv <br /> _ <br /> CO <br /> M to +o <br /> j m••m �- D <br /> C 2 rom <br /> _ x m-i <br /> �< <br /> v. <br /> ip tncno <br /> C) - z tn�mm <br /> S ZMOroY <br /> W( 0 <br /> q co CD r <br /> y c X <br /> vw � `"' CD <br /> X m 551C2/MV104C <br /> Bioassay Receipt verification(ASL933-0918l.xlsx <br /> Doc Control ID:ASL993-0918 <br /> Page 41 of 43 1/24/2019 <br />
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