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CO0045285
Environmental Health - Public
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2500 – Emergency Response Program
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CO0045285
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Entry Properties
Last modified
6/24/2019 5:19:05 PM
Creation date
2/11/2019 9:24:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
CO0045285
PE
2546
STREET_NUMBER
3
Direction
S
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
03511012
ENTERED_DATE
12/15/2017 12:00:00 AM
SITE_LOCATION
3 S PACIFIC AVE
RECEIVED_DATE
12/15/2017 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\P\PACIFIC\3\CO0045285.PDF
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EHD - Public
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McCampbel Analytical, Inc. CHAIN-OF-CUSTODY RECORD Page ' of 2 <br /> 1534 Willow Pass lid <br /> Pimbura,CA 94565-1701 WorkOrder: 1712772 ClientCode: RGAE <br /> (925)252-9262 El Waterfall ❑Wn1eOn [-]EDF ❑Excel AEOuIS ®Email ❑HardCopy ❑ThirdParty ❑J-Flag <br /> O Detection Summary (i Dry-Weight <br /> Rep°rll°: Bill to: Requested TAT: 1 day; <br /> William Frieszell Email: wmfneszell@termwn.com Anita G.Ilsley <br /> Terracon Wad Party. Temawn <br /> 1466 66th Street PO: 1466 66th Street Date Received: 12/182017 <br /> Emeryville,CA 94608 Project: R1177G18; Emeryville,CA 94608 Date Logged- 12/1820/7 <br /> (510)547-7771 FAX: (510)547-1983 anita.ilsley@rgaenv.wm <br /> Requested Tests(See legend below) <br /> Lab ID Client ID Matrix Collection Date Holdl 1 2 1 3 1 4 6 6 1 7 8 1 9 10 11 12 <br /> 17127724)01 LH-1 Water 12/15/20170845 ❑ A A A A <br /> 1712772-002 LH-2 Water 12115/201720:45 ❑ A A A A <br /> 1712772-003 LH3 Water 12/15/201720:50 ❑ A A A A <br /> 1712772-004 11141 Water 12/15/201721:00 ❑ A A A A <br /> 1712772-005 LH-5 Water 12/15/201721:10 ❑ A A A A <br /> 1712772406 LH-6 Water 12/15201721:20 ❑ A A A A <br /> 1712772407 LH-7 Water 12/15201721:30 ❑ A A A A <br /> 1712772408 LH-8 Water 12/151201721:40 ❑ A A A A <br /> 1712772-008 LH-9 Water 12/15/201721:50 ❑ A A A A <br /> 1712772-010 LH-10 Water 12/15201722:00 ❑ A A A A <br /> 1712772-071 LH-11 Water 12/75201722:10 ❑ A A A A <br /> 1772772-012 LH-12 Water_ 12/75/201722:30 ❑ A A A A <br /> 1712772-013 LH-13 Water 1 12/15/201722:40 ❑ A I A IA A <br /> 1712772-014 LH-14 Water 12/15/2017 22:50 ❑ A I A I A A <br /> 1712772-015 LH-15 Water 12/15201723:00 ❑ A I A I A I A <br /> Test ls0end: <br /> 1 300 O S 2 AMMON 13 1 G-MBTE7(_S 14 1 PH S <br /> 6 1 6 17 a <br /> 9 1 110111 12 <br /> Prepared by: Kena Ponce <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 33 of 43 <br />
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