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SR0084296_SSNL
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SR0084296_SSNL
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Last modified
10/29/2021 4:39:26 PM
Creation date
10/29/2021 4:18:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0084296
PE
2602
FACILITY_NAME
11671 E ADA AVE
STREET_NUMBER
11671
Direction
E
STREET_NAME
ADA
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
10327008
ENTERED_DATE
9/30/2021 12:00:00 AM
SITE_LOCATION
11671 E ADA AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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September 2, 2021 <br />Live Oak Geo Environmental Lab ID : STK2152310 <br />407 W. Oak Street Customer 3-16608 <br />Lodi, CA 95240 <br />Laboratory Report <br />Introduction: This report package contains total of 3 pages divided into 3 sections: <br />Case Narrative (1 pages) : An overview of the work performed at FGL. <br />Sample Results (I page) : Results for each sample submitted. <br />Quality Control (1 page) : Supporting Quality Control (QC) results. <br />Case Narrative <br />This Case Narrative pertains to the following, samples: <br />Sample Description Date Date FGL Lab ID # Matrix <br />Sampled Received <br />Domestic Well 08/27/2021 08/27/2021 S'1'K21-52310-09L_j DW <br />Sampling and Receipt Information: All samples were received in acceptable condition and within <br />temperature requirements, unless noted on the Condition Upon Receipt (CUR) form. All samples arrived <br />at 10. °C. All samples were prepared and analyzed within the method specified hold time. All samples <br />were checked for pH if acid or base preservation is required (except for VOAs). For details of sample <br />receipt information, please see the attached Chain of Custody and Condition Upon Receipt Form. <br />Quality Control: All samples were prepared and analyzed according to the following tables: <br />Inorganic - Wet Chemistry QC <br />450ONO3F 08/31/2021:213559 All analysis quality controls are within established criteria <br />08/31/2021:210055 All preparation quality controls are within established criteria (performed at FGL-SP <br />FLAP# 1573) <br />Certification:: I certify that this data package is in compliance with ELAP standards, both technically <br />and for completeness, except for any conditions listed above. Release of the data contained in this data <br />package is authorized by the Laboratory Director or his designee, as verified by the following electronic <br />signature. <br />KD: MKH <br />Reviewed and Digitally signed by Kelly A. Dumhoo, B.S. <br />Kelly A. Uunnahoo, B.S.- Tale: Laboratory Di—to. <br />Approved By �-' nate: 2021-09-02 <br />Page 1 of 3 <br />Corporate Offices & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. LindoAvenue <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />TEL: (805)392-2000 <br />TEL: (209)942-0182 <br />TEL: (530)343-5818 <br />TEL: (805)783-2940 <br />TEL: (559)734-9473 <br />Env FAX: (805)525-4172 /Ag FAX: (805)392-2063 FAX: (209)942-0423 <br />FAX: (530)343-3807 <br />FAX: (805)783-2912 <br />FAX: (559)734-8435 <br />CA ELAP Certification No. 1573 <br />CA ELAP Certification No. 1563 <br />CA ELAP Certification No. 2670 <br />CA ELAP Certification No. 2775 <br />CA ELAP Certification No. 2810 <br />
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