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ARCHIVED REPORTS_XR0011850
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_XR0011850
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Entry Properties
Last modified
12/6/2019 5:19:12 PM
Creation date
12/6/2019 4:37:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011850
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( S CHAIN OF CUSTODY CLS ID No.; 1519) LOG NO.J� 3 8 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AND ADDRESS + O <br /> DESTINATION LABORATORY <br /> CLS (916) 638-7301 m O !)0 0 <br /> ` 3249 FITZGERALD RD. <br /> PROJECT MANAGER P Oyu#I ,In RANCHO CORDOVA,CA. m COMPOSITE: <br /> PROJECT NAME L"I `l-1 95742 m oN NM <br /> SAMPLED BY M ���-rol��w m00 00 <br /> ❑ OTHER n <br /> JOB DESCRIPTION ZEI <br /> < x <br /> -15 <br /> (� TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION �. <br /> SAMPLE CONTAINERp N p p p I+a J <br /> DATE TIME IDENTIFICATION MATRIX NO. TYPE I� a r> <br /> 11 1 00 <br /> IYl w 4tr Ll YOB,, 3 >< /V- FEB200 <br /> 0 M LA/ <br /> ryn w,-3 <br /> �Z�{S rv%W <br /> 1030 rvm w- 5 <br /> Mw.. -4m <br /> Iq-t <br /> I�Do nn uv -g <br /> tits M w-q <br /> \8q5 5 M W -I o INVOICE TO: <br /> 141 M u.)-- <br /> 3wD W- I <br /> Ig3o vtw- 2 PO.# <br /> QUOTE# <br /> SUSPECTED CONSTI'tTl��t� t Mf4 1 Q �.t�� SAMPLE RETENTION TIME PR IVES: (1)HCL (3)=COLD <br /> (x{11 (2)HN 03 (4) <br /> ELIN IS BY(SIGN) INT N E/COMPANYDATE/TIME RE EIVO BY(SI N) I PRINT NAME/COMPANY <br /> lov-ev Z <br /> RECD AT LAB DAT M CONDITIONS/COMMENTS: <br /> SHIPPED BY: FED X UPS OTHER AIR BILL# <br />
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