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ARCHIVED REPORTS_XR0011806
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_XR0011806
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Entry Properties
Last modified
12/6/2019 5:10:53 PM
Creation date
12/6/2019 3:52:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011806
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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California L gyratory Services CHAIN OF CUSTODY ;C) CLS ID No.- PIS LOG NO. 2C, 33 <br /> .REPORT CLIENT J08 NUMBER FIELD CONDITIONS: <br /> AODREss YYl7 l K-c, mmmfMZ <br /> 4 r� DESTINATION LABORATORY m ,-LQ <br /> tY ��I�S VCLS (1316) 638-7301 N �U <br /> f \,3249 FITZGERALD RD. m <br /> �a <br /> PROJECT MANAGER-rr- RANCHO GORDOVA,CA <br /> � ! PH #fD�O� COMPOSITE: <br /> ��J <br /> 95742 C <br /> PROJECT NAME r� > <br /> SAMPLED BY r ❑ OTHER Z <br /> JOB DESCRIPTION W <br /> AROUNDTURN <br /> I <br /> SITE LOCATION <br /> .:.r .t aM J } } } o} <br /> CONTAINER C, N +- <br /> II. <br /> ` • NO TYPE <br /> r6 :a 13 \IQl l L �3X <br /> v )Z3 v y w� vl/ 2 �fuclix <br /> INVOICE T0: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1) HCL (3) COLD <br /> (2) HNO3 (q) <br /> RELINQUISHEDDATE TIME RECEIVED BY(SIGN) PRINT NAME'/COMPANY. <br /> NJ <br /> RECD AT LA BATE I TME: CONDITIONS I COMMENTS: <br /> IJ- M <br /> SHIPPED VIA Z FED X UPS OTHER- AIR BILL # <br />
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