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WORK PLANS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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H
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HAM
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2900 - Site Mitigation Program
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PR0548453
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Entry Properties
Last modified
3/16/2026 10:35:46 AM
Creation date
7/23/2025 2:14:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0548453
PE
2950 - ENVIRON ASSESS
FACILITY_ID
FA0027675
FACILITY_NAME
LAKEWOOD PLAZA
STREET_NUMBER
306
Direction
N
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95252
APN
03710030
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
306 N HAM LN LODI 95252
Tags
EHD - Public
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SunStar <br /> AIR LABORATORY co <br /> Laboratories, Inc, o <br /> PRDViD1NG QUALITYANALYT[CAL SERV7CE5 NATInrtWlnF N <br /> Chain of Custody Record <br /> 25712 Cammercentre Drive, take Forest, CA 92630 <br /> 949I-297-5020 <br /> Client:. Yw6r � r � f�C.�� t� Date: Page: ' Of <br /> Address: i5'�[ �Uf{ - �1��• fiur _rA- Project Name: �I(AzC, <br /> Phone: Fax: Collector: r� 1' i4v Client Project#: 3—�lafi�6] •ItI <br /> Project Manager:,• �W Batch#: r�3 C1 {v EDF#: <br /> g <br /> a _ a ❑ <br /> .Q r (5 Q <br /> M Sample Container T <br /> Type: Type: n u, <br /> Sail Gas 5umma ,�r e, M r <br /> Date Start Finish 1 Indoor Can 1 Initial Final `? r — E ex'i ,jy <br /> Sample ID Sampled Time Time Air Tedlar Pressure Pressure O 'U- Summa Can, Manifold#)Comments <br /> - F 7 -1 );7"L So' 6c5 '-17 -5` 5�f <br /> o� s" ,.. I -)V -r x "3 <br /> Q-4 &;� <br /> x% -5— �c .5 <br /> a - 1; r -s- X 12ir <br /> 09 <br /> 4 ' -30 <br /> 427 Q — p-20 1010 v -Jw 7 7'f ffZ3� <br /> 4 I fLft t! " -7 3 3v <br /> -ram -r -30 -5— 70 <br /> -30 <br /> I -3 �: � �� ■-3v _� 3037 � <br /> �►� cry <br /> & 3167 <br /> Relinqui d by:(signature) Date 1 Time I e by:(signature) Date 1 Time Total#of containers Notes <br /> (/�'; �1U -1 V)Z(o Chain of Custody seals YI�NA �� (f►�yl C � T <br /> u hed by {signature] ate!Time Received by:{signature} Date 1 Time Seals intact?YlNI� 1 <br /> I�' 0 <br /> as Received good condition/cold 3 } - <br /> Relinquished <br /> by (signature) Da I Time Receive by:{sig ture) Date I Time <br /> - 1 W 7-�l z :�� Turn around time: r�}r <br /> T❑-15 S I M analysis available upon prior notification.(Prec e rtified 5umma cans needed) <br />
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