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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WASHINGTON
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2900 - Site Mitigation Program
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PR0545445
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COMPLIANCE INFO
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Entry Properties
Last modified
3/3/2020 4:40:31 PM
Creation date
3/3/2020 4:20:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0545445
PE
2961
FACILITY_ID
FA0025798
FACILITY_NAME
CALIFORNIA ARMY NATIONAL GUARD
STREET_NUMBER
333
Direction
N
STREET_NAME
WASHINGTON
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04123045
CURRENT_STATUS
02
SITE_LOCATION
333 N WASHINGTON ST
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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Page 73 of 87 <br /> Standard Level III Deliverable Checklist <br /> GC 1 H PLC 1 IC DATA: <br /> I. Summary Forms Required: <br /> I3- Sample Result(s) <br /> 2- QC - Method Blank, LCS (LSCD, if analyzed) and MS/MSD for all associated batches <br /> Surrogates, including the QC samples (LCS/D and MS/D), if applicable <br /> ]CAL Summary(RRF 1%RSD, or r) or spreadsheet, for each applicable ICAL, by instrument and date <br /> ICV Summary for each applicable ICAL, by instrument and date <br /> CCV Summary for all associated CCV's, by instrument and date <br /> 2. ICAL Raw Data Required: <br /> Run log(s)-by instrument and date <br /> RF report from the data system or linear/quadratic_cu e.re ort with°r'- if used <br /> �- ICV % D or% Rec. -(hand calculated on ICAL report, summary form or include spreadsheet, if needed) <br /> Raw Data for all calibration levels, from lowest to highest point <br /> Raw Data for the ICV standard or 1CV/ICB as applicable to the method <br /> ❑ DDT 1 Endrin Breakdown Standard (8081 only) <br /> 3. Sample & QC Raw Data Required - in run log order, by instrument and date: <br /> Run Log <br /> DDT/ Endrin Breakdown Standard (8081 oniv) <br /> CCV data or CCV/CCB, as applicable to the method <br /> �- Method Blank for all associated batches <br /> LCS (and LSCD, if analyzed) for all associated batches <br /> �-� Sample data (primary and confirmation column/detector where applicable) <br /> 0/MS/MSD for all associated batches- include parent sample data behind the MS/MSD data <br /> 4. Sample Preparation Logs (if applicable) <br /> 7"e��l�2 �an SKS z40110 <br /> Compiled by - Pritif name Initial Date <br /> -281- of'295- <br />
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