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ARCHIVED REPORTS_XR0011799
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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F
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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_XR0011799
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Entry Properties
Last modified
12/6/2019 5:21:13 PM
Creation date
12/6/2019 3:46:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011799
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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SJGOV\wng
Tags
EHD - Public
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SPAR GER INC. OF CUSTODY RECORD <br /> A.►slytival Lam:.- gator ) UO.C. NO. 25711 <br /> y Phone: 916 362-8947 � . f <br /> 305305%)Fite100 <br /> Circle,#112 Sacramento,CA 95827 FAX:(916)362-0947 Page�� Of CTP-) <br /> --,STAL Invoice Number: <br /> Pnone: ANALYSIS REQUEST <br /> Company: Ajeex E1�►r� fj l� �� —o�©p <br /> Project Manager: -70—fi (.�t/IG� /` FAX: REMARKS: rt <br /> Report Address: Billing - Sampler's Name: <br /> Name 8 Address: _ r <br /> Project Name: /J'7C0(_V__ e_J7TVf`ovM ProjectlJob#: All None Some <br /> OK OK OK WET STLC <br /> 5z Cooler Temp, oC <br /> Project Location: �� ' C pfl.#: Sample Condition TCLP <br /> H <br /> Preservative TCLP Total <br /> Sam lin Container Used Matrix <br /> TAT <br /> u� <br /> m o <br /> H m <br /> ui <br /> 0 w o N v <br /> ao m` m > C6 2 <br /> v <br /> 0 (L4 �_ N N pLp <br /> Ln <br /> M a O U m C� L0 [.7 w <br /> LO Ir <br /> m E p d U Nr Ln y L <br /> a] 0ry T cry U C <br /> O N 6f LL. <br /> U CEJ Y C O o O Q N N C7 Q m io 47 Y <br /> Q1 U <br /> z N <br /> J 0 00 i�0 <br /> E m` ? m` m X � m m coo coo cNp � O �° r rn N a <br /> NO. SAMPLE ID Date Time m `` N O z z° O c°r1 Q o m m � < w w w �u < z O m U <br /> �- � 4 w Lu o_ a a ° <br /> o U u' U U ' ° <br /> 2 1135 <br /> s SS-3C� z' d I k <br /> 4 <br /> 5 5511 <br /> 5 I � <br /> 6 S5 <br /> 7 55- -71 <br /> 1sz5 l � <br /> a SS�Ir 7 530 <br /> s <br /> Relin is lby: R <br /> d Relinquished by: Received by: <br /> Date: Time: 33 v Date: Date: <br /> PLEASE READ REVERSE SIDE FORTE AND CONDITIONS Date: Time: <br />
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