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ARCHIVED REPORTS_XR0012469
Environmental Health - Public
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EHD Program Facility Records by Street Name
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K
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KETTLEMAN
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420
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3500 - Local Oversight Program
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PR0545336
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ARCHIVED REPORTS_XR0012469
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Entry Properties
Last modified
2/10/2020 9:03:20 PM
Creation date
2/10/2020 4:28:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012469
RECORD_ID
PR0545336
PE
3528
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
02
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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L-MA EQUIVA S ices LLC Chain Of Custody Record + r <br /> lab 1denGfrca necessary) <br /> Equiva Project Manager to be invoiced <br /> Address <br /> 8111 Stale Zip D SCIr Ney BTN �Karen Petryna <br /> f 9a,'? 9#:'pl`S5 <br /> 5 (�2� 5�.7 <br /> DATE <br /> 1E61NIGAL SERVFCE5 m <br /> LCI PAGE <br /> . -� of <br /> sweuo eoupuaOUSTO <br /> LOG COVE <br /> SITE ADDRESS(skeet and cRy) (AoaAL IONO <br /> Blaine Tech Services BTSR 420 W Kettteman Lane, Lodi 70607700390 <br /> ADDRESS EOF DELIVERASLETO taensen M.Parts D.dw.e) pHW7E NO E.A,WL OORMATARTPAOJECTNO- <br /> 1680 Rogers Avenue,San Jose,CA 96112 <br /> PROJECT CONTACT Q4rdcapya PDF Repeam) Aubrey Cool 707-933-2368 acaol cambrlaerty cam 87S# J(Iq <br /> `( <br /> Nick Sudano SAWCER NAMEM twre y d <br /> TELEPHONE FAYL EJWL 31 � fF Ht€R^r �.§qy'� �'�++� ay�rA„ �I <br /> ��d yet" i n� ,! <br /> 406573-0655 408573-7771 nsudano@blalnetech corn ( �eSa ;" ri", ,�4 t l;rKsr„ <br /> TURNAROUND TIME{BUSINESS PAYS} <br /> © 10 DAYS ❑ S DAYS ❑ 72 HOURS❑ 46 HOURS ❑ 24 HOURS❑ LESS THAN 24 HOURS REQUESTED ANALYSIS <br /> ❑ LA RWQC8 REPORT FORMAT ❑ UST AGENCY <br /> GClMSMTBECONFIRMATION HIGHEST HIGHEST per BORINGALL w °z FIELD NOTES <br /> .- <br /> SPECIAL INSTRUCTIONS OR NOTES TEMPERATURE ON RECEIPT C' 1 <br /> m ContalnertPreservative <br /> 'Detection(unit for MTBE must be 0 5ppb or PID Readings <br /> 'Additionally e-mail copy of lab to Karen Petryna(kepetryna@equlva cvm), Aubrey z $ a 1= or Laboratory Rotes <br /> Cool(aCOOI@cambna-env com) and Joe Neely Oneely@cambria-env cam) o, Fo to a o „ c <br /> v o U <br /> a m S m <br /> N �j° J1 <br /> R � � A I go <br /> 9SAM <br /> NO x x W ID A W { 4 m G W <br /> OF <br /> { Field Sample Identification DATEPLTIMt? uATR� coriT m o w r <br /> 10 <br /> 4 <br /> C)'s <br /> r t F <br /> 'r�r <br /> ,Y <br /> z <br /> tN <br /> d�f�m <br /> o9 <br /> lFdKSa <br /> rL .q�kf <br /> 1 tI�M� <br /> N <br /> yn <br /> /arm b ) Reeavad py IS<¢taGrel <br /> / Date Tena <br /> V <br /> R t a e <br /> Received by(speawnl t Time <br /> e shed by ISipn Val ---------h iputva) try <br /> F Date T„a <br /> C% <br /> 15TRiDUTION WMe rAh Mal re Gramtp qk Yelow ern PRtic to GAe•M a <br />
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