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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.; SSSyz- 2 � Z <br /> LOG No. 18714 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> N AND ADDRES v -V 1 /►2 . co <br /> 1 10DESTINATION LABORATORY <br /> CLS (916) 638-7301 W <br /> PROJE j MANAGER PHONE# 3249 FITZGERALD RD. m O <br /> S .-0 J ID �% RANCHO CORDOVA,CA. (n COMPOSITE: <br /> PR ECT NAME 95742 m Al <br /> SAI.fMY ❑ OTHER "'� }W <br /> LE Bim <br /> J U CRIPTION`•L <br /> m h <br /> SITURN AROUND TIME SPECIAL INSTRUCTIONS <br /> TE TI N (1��, <br /> CA . ND �0 00 <br /> SAMPLE CONTAINER <br /> DATE TIME IDENTIFICATION <br /> MATRIX NO. TYPE <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3)=COLD <br /> (2)HNO3 (4) <br /> RELINQUISHED BY(SIGN) PRINT NAME/C PANY DATE/TIME RECEIVED BY(SIGN) PRINT NAME/ Y <br /> L6}Q � <br /> RECD AT LAB B <br /> DATE!TIME: CONDITIONS/COMMENTS: <br /> SHIPPED_ FED X 0 UPS 0"1.AR -e CL C C"kAIR BILL# <br />
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