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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
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> e _,--�,- _l,�..-hem /xe-6,I~,P-6KL Ardkly 'enf- -�+as-rr.-s ae°R-rR'as°"e'r <br /> w <br /> —"' "' /53Aa rZLo,:f pAss eP,4-n -'a REPORTING REQUIREMENTS BELOW: <br /> SnvirommentaFtaks p e-4, G.S <br /> Project Manager: W.'1L r4!,eSz.,V1zV Phone 4: IPDF/Standard Format <br /> Email Addressfor Reporting: ;4tz.4 n. ^).cvlYl cell 5 6- g Geotracker l EDF l Provide Global ID <br /> Email Address for Reporting: Fax#: <br /> Company Name&Atldress: � La P.O#/Protect Name: EDD/Equis/Data Table <br /> l f6G 66S � 8 <br /> MDL Format <br /> Project Location:10V 6 <br /> Billing Address: _ y 5 c8W' Data to be reported to Slate's Database?Yes_No_ <br /> Sampler Name: EDT/CDPH-Provide Source Codes/PWS IDD: <br /> Ak-MBVfZ- Sampler Signatm page' ofr <br /> ANALYSIS REQUST IAB USE: <br /> Matrix Table: Preserved?(Mad vas ara no if both available) Metals Sin#: <br /> 5=Soil/Sludge/Solid(circle one) m Yes tic Total <br /> A=Air m No <br /> r <br /> DW=Drinking Water x <br /> MW=Monitoring Wells m m u d o <br /> GW=Groundwater E a c� ci '" E <br /> d U ¢ a`o d 1 <br /> TW=Treated Water rn m n a m to E E o Microbiology <br /> WW=Waste Water x � EnnE0 � j <br />
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