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SR0083976_SSNL
EnvironmentalHealth
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2600 - Land Use Program
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SR0083976_SSNL
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Entry Properties
Last modified
2/10/2022 9:33:35 AM
Creation date
8/9/2021 1:22:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0083976
PE
2602
STREET_NUMBER
12184
Direction
N
STREET_NAME
HIBBARD
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06323042
ENTERED_DATE
7/20/2021 12:00:00 AM
SITE_LOCATION
12184 N HIBBARD LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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McCampbell Analytical, Inc. CHAIN-OF-CUSTODY RECORD Page 1 of 1 <br /> 1534 Willow Pass Rd <br /> Pittsburg,CA 94565-1701 WorkOrder: 2106B91 ClientCode: PLGC <br /> (925)252-9262 WaterTrax ❑WriteOn [:]EDF EQuIS ❑Dry-Weight Email HardCopy ThirdParty [:]J-flag <br /> Detection Summary Excel <br /> Report to: Bill to: Requested TAT: 5 days; <br /> Daniel Kramer Email: dkramer@petralogix.com Accounts Payable <br /> Petralogix cc/3rd Party: tscheftner@petralogix.com; Petralogix <br /> 26675 Bruella Road PO: 26675 Bruella Road Date Received: 06/18/2021 <br /> Galt, CA 95632 Project: SSS/NLS- Hibbart Road Galt, CA 95632 Date Logged: 06/18/2021 <br /> (209)400-5729 FAX: <br /> Requested Tests(See legend below) <br /> Lab ID Client ID Matrix Collection Date Hold 1 2 3 1 4 5 6 7 8 9 10 11 12 <br /> 2106B91-001 DW Water 6/18/202110:10 ] B A A <br /> 2106B91-001 DW Trip Blank Water 6/18/2021 10:10 ] C <br /> Test Legend: <br /> 1 300_1_W [2 524 3 504 W3❑ PRDisposal Fee 4 <br /> 5 © 7❑ 8 <br /> 9 10 11 12 <br /> Project Manager: Rosa Venegas Prepared by: Adrianna Cardoza <br /> Comments: <br /> NOTE: Soil samples are discarded 60 days after results are reported unless other arrangements are made(Water samples are 30 days). <br /> Hazardous samples will be returned to client or disposed of at client expense. <br /> Page 8 of 11 <br />
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