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COWPT5QMU (2)
EnvironmentalHealth
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2500 – Emergency Response Program
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COWPT5QMU (2)
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Entry Properties
Last modified
5/13/2024 8:52:14 AM
Creation date
8/25/2021 3:09:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COWPT5QMU
PE
2546
STREET_NUMBER
10749
Direction
W
STREET_NAME
WOODBRIDGE
STREET_TYPE
RD
City
LODI
Zip
95242
APN
01103013
ENTERED_DATE
3/26/2021 12:00:00 AM
SITE_LOCATION
10749 W WOODBRIDGE RD
RECEIVED_DATE
3/26/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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McCampbell Analytical, Inc. Page 1 of' 1 <br /> 1534 Willow Pass Rd CHAIR_OF_CUSTODY RECORD <br /> Pittsburg,CA 94565-1701 WorkOrder: 2104071 ClientCode: EERC <br /> (925)252-9262 ❑WaterTrax ❑WriteOn EDF ❑EQulS Dry-Weight ❑Email ❑HardCoPY ❑ThirdParty 7J-flag <br /> ❑Detection Summary ❑Excel <br /> Report to: Bill to: Requested TAT: 1 day; <br /> Joe Trapasso Email: joet@excelchem.net Accounts Payable <br /> Excelchem Environmental Labs cc/3rd Party: Excelchem Environmental Labs <br /> 1135 West Sunset Boulevard, Ste.A PO: 2103218 1135 West Sunset Boulevard, Ste.A Date Received: 04/02/2021 <br /> Rocklin, CA 95765-1318 Project: 2103218 Rocklin, CA 95765-1318 Date Logged: 04/02/2021 <br /> (916)5434445 FAX: denises@excelchem.net <br /> Requested Tests(See legend below) <br /> Lab ID Client ID Matrix Collection Date Hold 1 1 2 1 3 1 4 1 5 16 7 8 9 1 10 1 11 12- <br /> 2104071-001 Sample 1 Water 3/29/2021 15:05 ❑ A A A <br /> 2104071-002 Sample 2 Water 3/29/2021 15:05 ❑ A A A <br /> 2104071-003 Sample 3 Water 3/29/2021 15:07 ❑ A A A <br /> 2104071-004 Sample 4 Water 3/29/2021 15:07 ❑ A A A <br /> 2104071-005 Sample 5 F Sludge 3/29/2021 15:10 ❑ A A A <br /> Test Legend: <br /> 1 AMMONIUM_Lab_S 1 12 1 AMMONIUM_Lab_W 3 PH 4 PH W <br /> 5 1 PRDisposal Fee 6 7 1 1 18 <br /> 9 1 1 110111 12 <br /> Project Manager: Angela Rydelius Prepared by: Tina Perez <br /> The following SamplDs:001A,002A,003A,004A contain testgroup Ammonium_lab_W.,The following SamplD:005A contains testgroup AMMONIUMS. <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 13 of 16 <br />
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