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CO0055423
EnvironmentalHealth
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2500 – Emergency Response Program
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CO0055423
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Entry Properties
Last modified
4/14/2023 4:22:15 PM
Creation date
4/14/2023 4:12:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0055423
PE
2546
STREET_NUMBER
1430
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06206039
ENTERED_DATE
12/12/2022 12:00:00 AM
SITE_LOCATION
1430 S CHEROKEE LN
RECEIVED_DATE
12/12/2022 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\bmascaro
Tags
EHD - Public
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CO WORLD OIL <br />RECYCLING„, <br />DeMenno/Kerdoon dba World Oil Recycling <br />"Recycling for a Cleaner Environment" <br />2000 North Alameda Street, Compton, CA 90222 <br />Ph (310)537-7100 Fax (310)639-1254 <br />Z. i Of Custody <br />Date Page 1 of I <br />CA-DH,S ELAP Certificate #2o37 <br />Client: CENTRAL VALLEY WASTE SERVICES CEN644 Contact: JOSH MALONEY <br /> <br />Tel: 209-333-5655 <br /> Fax: <br />Address: 1333 E. TURNER ROAD <br /> <br />City: LOCI <br /> State: CA Zip Code: 95240 <br />Project Name: SUMP WATER _51Lp p <br />Project Manager: SAM READ <br />Sampler(s) Signature: <br />Approved By: <br />Due Date dgitilit*Abkrr ays <br /> <br />Comments: / VACUUM <br /> <br />Sample Description <br />Lab <br />ID <br />Date Time <br />Collected Matrix <br />No. of <br />Containers Analysis Requested <br />SUMP WATER it4444.... i P-- LIQUID 1 TPH as gasoline, diesel, and motor oil <br />CAM 17 METALS <br />1 1 111 HI 1111111H 11 <br />BTEX <br />DR0000010745 % OF SOLIDS <br />ACCOUNT: CEN644 <br />CAL000194471 <br />EXPIRES: 10-13-22 <br />last: 9-30-22 <br />Sample Conditions: Seal Intact ID Broken lj None; Temperature lj Cold ef Room; Other <br /> <br />Date/Time ZIA -2 2/3141-7 <br />Date/Time 011 0312-3 (0 :53 • <br />Date/Time <br />Relinquished by (Signature) <br />Relinquished by (Signature) <br />Relinquished by (Signature) <br /> <br />Received by (Signature) <br /> <br />) Received by (Signature) C Avt.A.‘. <br />Received by (Signature) <br /> <br />SPECIAL INSTRUCTIONS <br />E-mail results to: dboyd@worldoilcorp.com / emcgovney@worldoilcorp.com ; sread@worldoilcorp.com; tfinau@worldoilcorp.com; jramero@worldoilcorp.com
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