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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 <br /> Laboratories, Inc. <br /> PRDViD1NG QUALITYANALYT[CAL SERV7CE5 NATInrtWlnF <br /> Chain of Custody Record Cz <br /> 25712 Commercentre ©rive, take Forest, CA 92630 <br /> 949I-297-5020 <br /> Client:. Yw6r � r � f�C.�� t� Date: Page: ' Of <br /> Address: i5'�[ �Uf{ - �1��• fiur _[I} Project Name (AzC, <br /> Phone: - fK 1 G 6 Fax: Collector: 1' 1' i4v Client Project#: <br /> Project Manager: 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 /> - S -1 l ip- 5r✓ -�� -5- 5-r.,f <br /> oll s" ,- -r x "3 <br /> Q� �3' x% -5- �c � .5 <br /> a 33 1;�r -,27 -5- ?r r <br /> 05 -.2V -5' ?s 3Y <br /> ��� - ���G u►v � v -fir 3 7'f �Z� <br /> J I t! " -7 -3 3v <br /> -ram -r -30 70 <br /> -30 <br /> I -3 �: � �� ■-3v _� 3037 � <br /> cry ia:4 <br /> i M-1 :vr 14: 7 - U - 3167 <br /> Relinqui d by:(signature) Date 1 Time ce by:(signature) Date 1 Time Total#of containers Notes <br /> (/�'; �-1U -1 V)Z(o Chain of Custody seals Y&A �� (f►�yl C � T <br /> u hed by {signature] ate I Time Received by:(signature) Date 1 Time Seals intact?YINI191 1 <br /> : �ta/za3• 1�' Received good condition/cold 3 } - <br /> Relinquished <br /> by (signature) Da I Time Receive by:{sig ture) Date I Time <br /> �l <br /> '-^� Turn around time: r�}r <br /> 'TO-15 SIM analysis available upon prior notification.(Precertified 5umma cans needed) <br />
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