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SR0080888 SSNL
Environmental Health - Public
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2600 - Land Use Program
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SR0080888 SSNL
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Entry Properties
Last modified
11/25/2020 12:02:09 PM
Creation date
12/27/2019 9:34:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0080888
PE
2602
FACILITY_NAME
PHRABUDDHIVONGSAMUNEE BUDDHIST TEMPLE
STREET_NUMBER
11253
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
RD
City
LODI
Zip
95219
APN
05520003
ENTERED_DATE
7/15/2019 12:00:00 AM
SITE_LOCATION
11253 N THORNTON RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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McCampbell Analytical, ane. CHAIN—OF-CUSTODY RECORD Page ' of ' <br /> 1534 Willow Pass Rd <br /> —.f . Pittsburg,CA 9456 5-1 70 1 WorkOrder: 1905588 ClientCode: NAAL <br /> (925)252-962 <br /> ❑WaterTrax ❑W riteOn ❑EDF ❑Excel ❑EQuIS 0 Email ❑HardCopy ❑Third Party ❑J-f lag <br /> ❑Detection Summary ❑Dry-Weight <br /> Report to: Bill to: Requested TAT: 5 days; <br /> Tamara Woods Email: tamara.woods@terracon.com Macy Thormahlen <br /> Terracon cc/3rd Party: Terracon <br /> 902 Industrial Way PO: 902 Industrial Way Date Receiver/: 05/10/2019 <br /> Lodi, CA 95240 Project: NA177056; Buddhist Temple Lodi, CA 95240 Date Logged: 05/10/2019 <br /> (209)367-3701 FAX: (209)369-4228 Macy.Thormahlen@terracon.com <br /> Requested Tests(See legend below) <br /> Lab ID Client ID Matrix Collection Date Hold 1 2 3 4 5 6 7 1 8 10 11 12 <br /> 1905588-001 GW-1 Water _ 5/9/201916:10 ❑ A <br /> 1905588-001 GW-2 Water 5/9/201916:13 ❑ B <br /> 1905588-002 Trip Blanks Water <Not Provided> ❑�/ A <br /> Test Legend: <br /> 1 300_1_W 2 524_3_504_W 3 14 <br /> 5 - — 6 -7 - 8 I - <br /> 9 10 11 1121 <br /> Project Manager: Angela Rydelius 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 /> D,.. 4 <br />
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