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SR0080888_SSNL
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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SR0080888_SSNL
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Last modified
2/10/2022 11:01:17 AM
Creation date
2/10/2022 10:52:30 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
11265
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
11265 N THORNTON RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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McCampbell Analytical, Inc. <br />--""' 1534 Willow Pass Rd CHAIN-OF-CUSTODY RECORD Page I of I <br /><sw,:,==,.. Pittsburg, CA 94565-1701 <br />'At (925) 252-9'6/ <br />Report to: <br />Li WaterTrax <br />WorkOrder: 1905588 ClientCode: NAAL <br />DWriteOn 0 EDF D Excel D EQuIS W Email D HardCopy D Th i rd P a rt y <br />D Detection Summary D Dry-Weight <br />Bill to: Requested TAT: <br />E J-fiag <br />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 Received: 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 2 3 4 5 6 7 8 1 9 10 11 12 <br />1905588-001 GW-1 Water I 5/9/2019 16:10 E A <br />1905588-001 GW-2 Water 1 5/9/2019 16:13 _1 LII <br />1905588-002 Trip Blanks Water <Not Provided> I El A <br />Test Leaend: <br />1 300_1_W 2 524_3_504_W 3 4 <br />5 6i L7 8 11 <br />9 10 11 12 <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 />Q 11
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