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SR0083415_SSNL ADDENDUM
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SR0083415_SSNL ADDENDUM
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Last modified
2/24/2022 1:21:10 PM
Creation date
2/23/2022 5:06:40 PM
Metadata
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Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL ADDENDUM
RECORD_ID
SR0083415
PE
2602
FACILITY_NAME
88 MARKET & GRILL
STREET_NUMBER
21850
Direction
E
STREET_NAME
LIBERTY
STREET_TYPE
RD
City
CLEMENTS
Zip
95227
APN
02120024
ENTERED_DATE
3/16/2021 12:00:00 AM
SITE_LOCATION
21850 E LIBERTY RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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88 Market & Grill <br /> 21850 E Liberty Road <br /> Clements Ca. 95227 <br /> San Joaquin County <br /> Soil Suitability Study Checklist <br /> Ground Water Information & Discussions <br /> Page 1 of 1 <br /> 01/14/2022 <br /> • Item 4.2: Currently there are no known or potential contamination sources in the <br /> immediate or surrounding area, as addressed in the attached Source Water <br /> Assessment. <br /> • Item 4.3: Sample Site Locations. <br /> o Sample Site Plan, shows address and locations of sample sites at this APN 021- <br /> 200-24 location. (Attached) <br /> • Item 4.4: Constituent Testing. <br /> o See appendix 8 of the attached PTR Preliminary Technical Report. <br /> • Item 4.5: Sample Collection Procedures. <br /> o Samples collected by certified sampler of Far West Labs Inc State Certification <br /> Number 1310. <br /> ■ Sample site prepared by standard disinfection procedures. <br /> • Collected in applicable containers for specific test. <br /> ■ Packed and transported to lab in ice. <br /> ■ Procedures as specified by State Title 17 and 22 as well as AWWA <br /> national standards. <br /> • Item 4.6: Results & Chain of Custody. <br /> o Results maybe reviewed in attached PTR Preliminary technical report <br /> Appendix 8 or in California state monitoring schedule. <br /> o Attached chain of custody. (Example) <br /> Sam Hedge <br /> 209-406-6069 <br /> sanhedge@caldsl.net <br />
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