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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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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2igoiS <br /> CHAIN OF CUSTODY Ref.Document# <br /> Page 1 of 1 <br /> -OTIE- <br /> � Analyses Requested <br /> a <br /> �11l1d!Tohl hHegrated EMerprbes Project Number: 2009069 <br /> Project Name I Location: CA ARNG-L )DI <br /> Purchase Order#: 2009069 <br /> Project Manager:Mike Qulll117 <br /> ame Pro Shipment Date: <br /> N <br /> Send Report To: Mike Qulllin,James Medley Waybill Number: y <br /> Phone Number: 925-906-9698 Lab Destination: Curtis&Tompkins Inc. V <br /> Address: 1777 N.California'Blvd supe 310 Lab Contact Name I ph.M 510-486-0900 John Goyette 2d <br /> F- <br /> City: Walnut Creek, CA 94596 <br /> >" Ice <br /> d <br /> Sampler's Name(s): Medley Collection Information A Preservative(water) <br /> c <br /> Y Container Type <br /> Sample ID Number Sample Description Date Time Method Z <br /> LODI-SO-01 Soil 1 Glass Jar <br /> LODI-SO-02 116 l �40 lv- Soil 1 Glass Jar <br /> Soil 1 Glass Jar <br /> LODI-SO-03 � �� 1' <br /> LODI-SO-04 <br /> 11 �t 1 a'� Soil 1 Glass Jar <br /> l <br /> LODI-SO-05 <br /> Soil 1 Glass Jar <br /> l j2 �� <br /> LODI-SO-06 <br /> Soil 1 Glass Jar <br /> ���� <br /> Soil 1 Glass Jar <br /> LODI-SO-07 �/ ��- L' <br /> Soil 1 Glass Jar <br /> LODI-SO-Os L (r <br /> l + Soil 1 Glass Jar <br /> LODI-SO-09 j. <br /> L <br /> LODI-502 — - <br /> Special Instructions: Email reports to Mquillin atrDOtiesolutions.com and Jmedley@OtieSolutions.com Method Codes <br /> Call James Medley at 415-341-2250 with questions. <br /> Hazard Identification Unknown Sample Disposal: Disposal by laboratory C=Composite G=Grab <br /> ❑ 24-hr ❑ 48-hr Level Of QC Required: Matr1x Codes <br /> Tu around Time: I II III Project Speck: <br /> Normal ❑ 3-day ❑ 10-day (l�� j Receiv Date: i' LS? i0 DW=Drinking Water SO=Soil <br /> nquished By: Date: <br /> Time: GW=Ground Water SL=Sludge <br /> Time: <br /> inquished By: Date: <br /> Received By: Date: WP=Wipe CP=Chip Samples <br /> Time: <br /> Time: <br />
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