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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WASHINGTON
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2900 - Site Mitigation Program
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PR0545445
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COMPLIANCE INFO
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Entry Properties
Last modified
3/3/2020 4:40:31 PM
Creation date
3/3/2020 4:20:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0545445
PE
2961
FACILITY_ID
FA0025798
FACILITY_NAME
CALIFORNIA ARMY NATIONAL GUARD
STREET_NUMBER
333
Direction
N
STREET_NAME
WASHINGTON
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04123045
CURRENT_STATUS
02
SITE_LOCATION
333 N WASHINGTON ST
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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CHAIN OF CUSTODY Ref.Document# <br /> of <br /> 4"-OTIE Z i( Page 1 es 1 <br /> _ <br /> ` � � c1 Analyses� 1 ses Re nested <br /> Oneida Totaf IMepnted Errteryrlsee • y q <br /> Project Number: 2009069 <br /> Project Name I Location: CA ARNG-LODI <br /> Purchase Order#: 2009069 <br /> Cy <br /> Project Manager:Mike QUillin r <br /> (Name pone Shipment Date: 1 (� N <br /> Send Report To: Mike Quillin,James Medley Waybill Number: r O <br /> Phone Number: 925-906-9698 Lab Destination: Curtis&Tompkins Inc. Oro } <br /> O _ <br /> N N N ^ L <br /> Address: 1777 N.California Blvd suite 310 Lab Contact Name I ph.#: 510-486-0900 John Goyette = V W M <br /> IL <br /> ++ 'T <br /> City: Walnut Creek, CA 94596 > F— Ua <br /> d Ice Ice Ice Ice <br /> Sampler's Name(s): J.Medley Collection Information Preservative(water) <br /> o <br /> Sample ID Number Sample Description Date Time Method A c Container Type <br /> � ac <br /> Lor)!,, /.l �.� C Soil 7 Glass Jar ` X <br /> Special Instructions: Please report napthalene with VOCs. Call James Medley at 415-341-2250 with questions. <br /> Email reports to Mquillin@Otiesolutions.com and Jmedley@OtieSolutions.com Method Codes <br /> Hazard Identification Unknown ISample Disposal: Disposal by laboratory <br /> Turnaround Time: ❑ 24-hr ❑ 48-hr Level Of QC Required: <br /> C=Composite G=Grab <br /> Normal EJ 3-day ❑ 10-day I 1 II III Project Specific: Matrix Codes <br /> 7shed By: 4 Date: ( L .1. eceiDate: 114-9-110 DW=Drinking Water SO=Soil <br /> Cal Time: V Time: l�' d GW=Ground Water SL=Sludge <br /> WP=Wipe CP <br /> O Relinquished By: Date: Received By: Date: =Chip Samples <br /> N Time: Time: <br />
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