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ARCHIVED REPORTS_XR0011776
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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F
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5491
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3500 - Local Oversight Program
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PR0545028
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ARCHIVED REPORTS_XR0011776
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Entry Properties
Last modified
12/6/2019 5:06:24 PM
Creation date
12/6/2019 3:32:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011776
RECORD_ID
PR0545028
PE
3528
FACILITY_ID
FA0003919
FACILITY_NAME
VAN DE POL ENTERPRISES
STREET_NUMBER
5491
STREET_NAME
F
STREET_TYPE
ST
City
BANTA
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
5491 F ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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Tags
EHD - Public
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SPAR - , TECHNOLOGY, INC. CHAIN OF CUSTODY RECORD <br /> Analytical Laboratory Phone: (910) 302.0947 <br /> 3050 File Circle, #112 Sacramento, CA 95027 FAX: (910)302-0947 <br /> Company: f1�X C-1U V1)?o 7-rC he Phone:(q/6),535-0W0 <br /> Project Manager: FAX:(%) 535-02P> STAL Invoico Number: <br /> Report Address: illing Name&Address: <br /> ANALYSIS REQUEST <br /> Project Name* Project/Jol #: REMARKS: WET(STLC) <br /> 1��� l�rp�P.�M '5;7D z,bcz C <br /> Project Location: �;L4IT P.O. #: TCLP <br /> .t GoZ.o <br /> Preservative TCLP Total <br /> Sampling Container Used Matrix TAT <br /> L <br /> � N <br /> O e0 <br /> co O <br /> C t <br /> N N N N <br /> _ o O .- <br /> O 0 t`n 00 z <br /> N 0 O <br /> o N .r co <br /> v <br /> N w <br /> o N 0 0 v to U <br /> 0 0 p O CL 4 N N U n <br /> �. N p� 4 <br /> = <br /> O O O O O d O <br /> N <br /> W r to aD n ..x <br /> o U T 4 O. O O O N N U 0 0 o c o <br /> a0 0 N = C m T w to Co w .� J o o <br /> 0 to <br /> N o I .. z .. .. o 0 0 t00 10D b ND O a .0 t` to o <br /> Fa c <br /> . oSAMPLE ID Date Time o x z o to o m m t- UJW W W W W U <br /> 1o -J I Irn c = <br /> IM0311 7 11517 oZ7b <br /> Relinquis b Received by: f Relinquished by: Received by: <br /> Mile: h/jy/jy Time://; °/D Date:J// /,' l Time: Date: _ Time: Date: Time: <br />
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