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ARCHIVED REPORTS_XR0011684
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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2900 - Site Mitigation Program
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PR0508007
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ARCHIVED REPORTS_XR0011684
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Entry Properties
Last modified
2/6/2020 5:42:21 PM
Creation date
2/6/2020 3:16:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011684
RECORD_ID
PR0508007
PE
2950
FACILITY_ID
FA0007880
FACILITY_NAME
ARCO FACILITY #434
STREET_NUMBER
501
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03119028
CURRENT_STATUS
02
SITE_LOCATION
501 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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T SEQ UOUL ANALYTICIR S,ATVIPLE RECEIPT LUG <br /> � <br /> GT.IBDITNAM,: - "� Arlt►kfug pater for <br /> RF,C.BY(HUNT) � TIMREC'J?Ni!LAB f'T � 14677) regtida tory purposts: YES/C01 <br /> 'W0nX0RDFR: _ / D�i1 LQt;Gkb Y[�� p Wastewater for <br /> . regulatory puyposcs: W.3 f <br /> CMCI ERAPPROPRIh�'K�1WRONSY. I-Ail DASH CX�i1: T CONTATUR PRISER SAMPLE DiS;ATE MW <br /> .'1AI DPSC�F"TION VA.'E AT= SAMPLED CONDITION C. <br /> ) <br /> 1 Custody SW(s) Pvzcttt/ rCHL 01 01E WL <br /> lat�ct/H0;)- - <br /> ' 2. Chain-of-Cuslrtclyrf /Ahsestir d ---- ! S <br /> 3. 'Craffitoftporisar <br /> l'acki List: ' Present _c <br /> 4 Airbil3, Alrbrll{ � cf <br /> Present sett <br /> S Airb&R,. _ <br /> b Sample.Labels: !Absent <br /> 7 Sample Ills: .ts�f t'[ut I,sstt3 <br /> ot►chant-of�Custad t <br /> 8 Sarnpta Coa lttiolu ll !Broken* <br /> _Z <br /> 9 Does information on <br /> custody reports,ft of c <br /> reNds Sind sample - <br /> labels a reel No* <br /> 10 Samplo rCt ivied witklill <br /> hold tune f No* <br /> 11 Proper Pfeser vatives = <br /> used Y /Noy <br /> 12 Tomp R=at Lab $ <br /> Ys temp 4+1-2'C? <br /> (Acccplanav range fvr samples sequi ngthcrruat pro:E) ` <br /> l •*Exceptton(if any): Metals / DB (a�FvA 19mm Meld <br /> or Problem COC <br /> I1Er G`�RCr :D CnN1ACx PR0J .G"J'INIMNA(;PR AND X UCEIR)ECORD OFIMOLU''l�o�T. <br /> Swnple Rcaafpt tog - <br /> RavWa 3(031181031 Page of 4— <br /> Replaces Revlmn 2 3(12124102) <br /> Effete ODfIM <br />
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