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ARCHIVED REPORTS_XR0005521
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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24323
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3500 - Local Oversight Program
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PR0544358
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ARCHIVED REPORTS_XR0005521
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Entry Properties
Last modified
11/19/2024 1:50:25 PM
Creation date
4/17/2019 3:12:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005521
RECORD_ID
PR0544358
PE
3528
FACILITY_ID
FA0021623
FACILITY_NAME
JAHANT FOOD AND FUEL
STREET_NUMBER
24323
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
APN
00516019
CURRENT_STATUS
02
SITE_LOCATION
24323 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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r <br /> 720 Olive Drive, Suite D <br /> .�� Davis, CA 95616 <br /> Lab 530 297 4800 <br /> ANALYTICAL eec Fax 530 297 4803 Lab No Page x of 2 <br /> Project Manager Phone No <br /> Toe gawk � sic, 35 4 - 3 L5 0 Chain-of-Custody Record and Analysis Request <br /> Company/Address FAX No 1-- For Lab <br /> R a 5hvir c+1 Analysis Request Use Only <br /> Project Number PO No Email Address m x <br /> m m � H a v a v v <br /> ❑pdf ❑ As ❑ doc ❑other LU <br /> Project Name/Location Sampler Signature0 LU III W <br /> V •l a K 1 H H N <br /> C3 <br /> m m m a VVV <br /> Container Method w w M @ m o �a w o " ° o E o 0 <br /> Sampling (Type/Amount) Preserved Matrix coF0 0 � N < � � a a a <br /> @ � d d N M <br /> L <br /> m p <br /> [Q N N 8 N N N d NZ. tJ O) V n y N m <br /> IG 19 r- <br /> Sample w M z w X m m (ry m rn °: W N °' r N <br /> o - v z o ¢ r a a a o a o o a s r L <br /> Designation Date Time v to = _ z m m ti r• � w N <br /> NI W 60 91ilo4 <br /> )z <br /> Relinquished by Date Time Received by Remarks <br /> 91-1100 (too <br /> Relmqu shed by Date Time Received by <br /> Relinquished by Date Time Received by LaboratoBill to (ka m q v t' <br /> ry <br /> D15rnbuhon While-Lab Yellow-File Pink-Originator COC fhb(5/00) <br />
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