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ARCHIVED REPORTS_XR0011860
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_XR0011860
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Entry Properties
Last modified
12/6/2019 5:35:52 PM
Creation date
12/6/2019 4:44:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011860
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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{ <br /> *iAFFDavi 2nd 5treat Suite 3p0 <br /> Davis,CA 95616qab: 530.297,4800 Lab No. t7 Page 1 of 2 <br /> NALYT/CAL ccc Lab: <br /> 530.297.4808 <br /> Project Contact{Hardcopy or 7To),- California EDF Report? [�yes No Chain-Of-Custody Record and Analysis RequesRich JohnsonCompany1 Address: ecommended but not mandatory to complete thfs section: Ana lysis Req hest 16- <br /> Apex <br /> Apex Envirotech,Inc. Sampling Company Log Code: <br /> 11244 Pyrites Wy.,Gold River,CA 95674 APEF i— <br /> Phone No.: Fax No.: Global 10: CO El <br /> 0 <br /> 916-851-4174 916-859-0177 70607700183 04 ►= 12hrO <br /> Project Number: P.O. No.: EDF Deliverable To(Email Address): � <br /> T.-aff <br /> `° LdERA02.004-QM m m p m 24hr ?' <br /> rwestrup a exenvirotech.com o0 N ❑ Q O <br /> Project Name: Sampler N N N w +n <br /> N <br /> Moore Petroleum Signature: w w m _ w 48hr <br /> Project address: Sampling Container enervative Matrix '� = z Co Q C- - <br /> N H o '0 <br /> (51,' O a a Nmg d f o N m 72hr <br /> a? w N �, �, V y E �; y O a <br /> 5491 F Street,Banta ¢ C� �, a d, 'c N o LL <br /> Sam le <br /> U.1 cc �' CL d 2 m m m m aci z a Y 1Wk <br /> P E w J m 0 z fw- J X CD m <br /> Designation o o � Z) z w o a o w Ui _ = z x x x ,) � ¢ x 2wk <br /> at Time v to a ¢ _ = v z � cn m CL m o o a Q 0 <br /> MW-1 3 X X X X X X X X X 1 wk <br /> 31 <br /> MW-2 X X X X1 X X X X X 1 wk <br /> ✓ Mw-3 ['� X X X X x x x X X 1 wk p3 <br /> MWAA S X X X X X X X X X , wk O� <br /> MW-5 3 x x x X x x x x x , wk 05 <br /> Mw-6 X X X X x x x X X 1 wk 6�. <br /> MW-7 X X X X X X X x <br /> X 1 wk 4'-7 <br /> MW-8 r toy X X X X X I X X X X 1 wk P <br /> Mw- X 1:E <br /> X X X X X X X 9 <br /> 1 wkMW-11 0 Q X X X X X X X X1 1 wk 10 <br /> Relinquished by at I TIMP Received by: Remarks: <br /> Relinquished by. Date Time Received by: <br /> Relinquished by, Date Time Recely by Laboratory: Bill to: <br />
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