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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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6100
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2900 - Site Mitigation Program
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PR0516379
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Last modified
11/19/2024 3:47:34 PM
Creation date
5/8/2020 12:12:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0516379
PE
2965
FACILITY_ID
FA0012587
FACILITY_NAME
OAK RIDGE WINERY LLC
STREET_NUMBER
6100
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
APN
04912034
CURRENT_STATUS
01
SITE_LOCATION
6100 E HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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3050 Industrial Blvd. <br /> West Sacramento,CA 95691 CLS G(. Page of <br /> Tel:916.372.1434 Lab No. _ _ <br /> WBIIocBKuhl Fax:916.372.2565 <br /> S <br /> Project Contact(Hardcopy or PDF To): California EDF Report? Des Q✓No Chain-of-Custody Record and Analysis Request <br /> Bryan C.Yates <br /> Company f Address: Recommended but not mandatory to complete this section: Analysis Request Q <br /> Sampling Company Log Code: 1— <br /> see above 12Hr <br /> Phone No.: Fax No.: Global ID: o o Q <br /> o r 24 Hr <br /> Project Number: P.O.No.: EDF Deliverable To(Email Address): a ° O <br /> 0 E <br /> 6364.08 py�!tes@wallace-kuhl.com a g 48Hr o <br /> N <br /> Project Name: Sampler l 2 as m , 0. O v <br /> Oak Ridge Winery-Quarterly Sampling(03) Signature: ��/�— w w o c o 0 72 Hr j <br /> Project Address: Sampling Container Preservative Matrix E O <br /> J of 2 a o Z a- <br /> E m 1 WK J <br /> Oak Ridge Winery,Lodi,CA m T z > m W w 5 `m t ° <br /> o J a J D a a, E 2WK <br /> W W Y o a Y o O <br /> Sample E w a E o Z o l- J W E <br /> Designation Date Time v cn - N N 2 z U O i � O z r°- Za r° a° ¢ Un t` <br /> MW115 UZ- 3# 21 11* #I x I I *I x I x I x I x x I x I x I x x <br /> MW2 13,) 7 3# 2 1* # x x x x x x X1 X1 x x <br /> MW3 IL33 3# 2 1* # x * x x x x x x x x x <br /> MW4 io 43 3# 2 1* # x * x x x x x x x x x <br /> Relinquished by: Date Time Received by: Remarks: <br /> GA115 <br /> Relinquished by: Date Time Received by: •��l� <br /> ©r� vl Please also email to byates@wallace-kuhl.com <br /> Relinquished by: Date Time Received by Labo tory: Bill to: <br /> a <br /> i <br />
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