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ARCHIVED REPORTS_XR0011837
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_XR0011837
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Entry Properties
Last modified
12/6/2019 5:25:56 PM
Creation date
12/6/2019 4:35:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011837
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
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EHD - Public
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CLS - l "`,3jS CHAIN OF CUSTODY CLS ID No., LOG NO. Cl3 4 <br /> - - CLIENT JOB NUMBERe , , FIELD CONDITIONS: <br /> NAMEAND ADDRESS <br /> fr <br /> X DESTINATION LABORATORY <br /> CLS (916) 638-7301 C� <br /> PROD M NAGER PHONE - 3249 FITZGERALD RD. ]� <br /> A J ® RANCHO CORDOVA,CA. N -- COMPOSITE . <br /> PROJECT NAME 95742 <br /> "^.. 4Y `t d„ .('§ n�, 5Y �` e 4' xssF"`Y -g, <br /> saMPZED C > <br /> ❑ OTHER C � �?-� K,� � €� � ,# �� � <br /> © ' <br /> JOB DESCRIPTION <br /> SITE LOCATIO <br /> -tet r Q NQ to Q Q. <br /> CONTAINER <br /> • NO. TYPE <br /> I`3iS W - Or/57- MT + <br /> 0946-- m was= <br /> x Yx s INVOICE TO: <br /> x x115-7 t <br /> it +c,� <br /> 1 2516--M r P.O.# <br /> ,u_' QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3)=COLD <br /> (2)HNO a (4) <br /> • • - • • • • <br /> CONDITIONS l COMMENTS: <br /> SHIPPED BY, X UP 5 OTHER AIR BILL# <br />
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