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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
Scanner
SJGOV\wng
Tags
EHD - Public
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51'ARGER T7,,HNOLOGY, INC. >,� �' /�Gr '' AiN OF CUSTODY RECORD <br /> Analytical La�br`atory Phone:(916)362-8947 C.O.V. No. 25374 <br /> 3050 Fite Circle,#112 Sacramento,CA 95827 FAX: 916)362-0947 Pageof - TAL Invoice Number: ' <br /> Company: P Phone: a N, ANAI.YSlS REQUEST <br /> Project Manager: ' <br /> g •� FAX: REMARKS: ;z , '� � Sampler's Name: <br /> Report Address: <br /> p Billing Name&Address: ,y~ - <br /> 7. L <br /> All None Some <br /> Project Name: h-wC f,_w�� 6,, "T Project/Job#: OK OKI OK WET STLC <br /> Cooler Temp. oC <br /> OZ ,c�7y <br /> Project Location: �� )� s ROA Sample Condition TCLP <br /> pH <br /> Preservative TCLP Total <br /> Sa piing Container Used Matrix TAT <br /> w <br /> CON <br /> N co <br /> iq c t0o N t <br /> 0 o No W z ro <br /> co <br /> C11 O O m N 2 a <br /> In O O N N N t ti N <br /> = cv 111 N _ a N uNi m U U n c <br /> O N N N <br /> 00 <br /> W U ap N d N a0 O h 'O 0 Y <br /> O m `m t% 0 O a m w m a_a a_o m ,� J! m <br /> J N E •. ..J z .. N O O O O N N r lf] tU C� �+ <br /> EMEd x s� 1 (0 CD E o a =I ro <br /> N0. SAMPLE ID Date Time ` J $ = U ° m o L a a a a o o a' [� ¢ ¢ v m o <br /> m N o 2 z 0 W ¢ O m m w w w w w w z O DC U U cn m n-- <br /> 2 <br /> 2 -1 <br /> 3 <br /> 4 ,. <br /> 5 <br /> 6ti <br /> 8 <br /> 9 — � ✓ <br /> 10 <br /> Relinquished by: Ree Relinquished by: Received by: <br /> Date: Time: Date: Time: Date: Time: Date: Time: <br /> 'PLEASE READ REVERSE SIDE FOR TERMS AND CONDITIONS + <br />
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