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ARCHIVED REPORTS_XR0011857
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_XR0011857
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Entry Properties
Last modified
12/6/2019 5:29:30 PM
Creation date
12/6/2019 4:40:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011857
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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EHD - Public
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CLS - Labs CHAIN OF CUSTODY CLS ID No.; LOG NO. 18713 <br /> R-E�^PO'SRT TO: FV,CLIENT <br /> JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAI��DDG</V Y_� <br /> O <br /> 7949 mApi <br /> i 1 DESTINATION LABORATORY 0 <br /> N N <br /> CLS (916) 638-7301 (.� 4v o <br /> PR J C`r,�AyAGE� PHONE# 3249 FITZGERALD RD. m 4 Q N <br /> (� f RANCHO CORDOVA,CA. (n Kzs COMPOSITE: <br /> SRMJ CZ YME �OL ./� 95742 �_ I, ) <br /> (1 -'A Lb VQ ❑ OTHER D vo w/ J <br /> `�6v7,� <br /> J SCRIPTIO_N C 1, T 'O M <br /> y 5 l'LI.� 63 <br /> CAI <br /> m O ( y TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> DATE TIME SAMPLE CONTAINER ` �� 6 N o C, o <br /> IDENTIFICATION MATRIX NO. TYPE <br /> vcjA <br /> 0 644 OUSE IL �l3 <br /> i2 ln�- x � nx <br /> (WV 41 W- X, )c X � <br /> 65 2 w K t x x X <br /> 16vf-w - 2 x � lK ? x <br /> -.1.3) 6 Mw- x x. f x <br /> (SIC W- �� X 7� T ri X x X <br /> C �W � Y `� y INVOICE TO: <br /> I 3v /\A vv - 1 1 <br /> SUSP CTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3)=CO <br /> (2)HNO3 q <br /> RELINQUISHED BY(SIGN) PRINT NAME/ OMPANY DATE/TIME RECEIVED BY(SIGN) PRINT NAME/COMPANY <br /> ma�Lw <br /> RECD AT Y. DATE/TIME: CONDITIONS/COMMENTS: <br /> AIR BILL# <br /> SHIPPED DX UPS �Ol, <br />
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