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2900 - Site Mitigation Program
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PR0538175
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Last modified
7/3/2019 5:05:15 PM
Creation date
7/3/2019 2:57:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0538175
PE
2950
FACILITY_ID
FA0022052
FACILITY_NAME
NESTLE DIRECT STORE DELIVERY CO
STREET_NUMBER
1351
STREET_NAME
DUPONT
STREET_TYPE
CT
City
MANTECA
Zip
95336
APN
22121019
CURRENT_STATUS
01
SITE_LOCATION
1351 DUPONT CT
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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TestAmeric :asanton Tess. menoca <br /> L220 Quarry Lane { <br /> Chain OS C.uSlV1Xy RCCOPCl THE LEADER IN ENVIRONMENTAL TESTING <br /> Pleasanton;CA 94566 2/ <br /> TestAmerica Laboratories,Inc. <br /> phone 925.484 1919 fax 925 6003002 <br /> Client Contact Project Manager:W'eudy Key Site Contact: Date:11/21/13 COC No: <br /> Ryan Dominguez Tel/Fax:9t6-637-3326 Lab Contact:Micah Smith Carrier: 'y_of,'l.COCs <br /> 3043 Gold Canal Drive Analysis Turnaround Time Job No. SAC 139 <br /> KanchO Cordova,CA,95670 Calendar(C)or Work Days(W) W <br /> 916-637-8338 Phone TAT Sfdifferent from Below <br /> v o N SDG No. <br /> 916-637-8321 FAX ED 2 weeks <br /> Project Name:Phase II Environmental Site Assessment i week <br /> a v o N o <br /> Site: Nestle Direct Store Delivery Company D 2 days s <br /> __ g Sampler.R.Dominguez,G.Hurst <br /> P O#SAC139 I day `o .o g y d ? e <br /> a .2 <br /> Sample Sample Sample <br /> Sample Identificationg ° Is—pie S hic Notes <br /> Date Time Type Matrix coat � O o a •e � a F �c <br /> i <br /> Preservation Used: J=Ice. 2=HCl; 3=H2SO4: 4=1INO3; 5=NaOH;6=Oiher <br /> Possible Elazard Identification Sample Disposal(A fee may be assessed if samples are retained longer than 9 month) <br /> 0 Nor.-Hazard C-�3 Flammable Stan lrrizant Poison B 0 Unknown; =Retum To Ciient Disposal By Lab Archive For Months <br /> Special Instructions/QC Requirements&Comments: <br /> Relinquished by:h ' Company_ r Date/Time. Received by' Company Dat i <br /> ! <br /> Date <br /> pp� Received b Company: Date, e: <br /> Company: r/F3oc� y " �S <br /> Relinquished by' tvj g % � � �% �— <br /> Date/Tmie Received by.`y Company: Date/'Tim <br /> Relinquished by Company' <br />
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