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ARCHIVED REPORTS_XR0011868
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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5491
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3500 - Local Oversight Program
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PR0545028
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ARCHIVED REPORTS_XR0011868
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Entry Properties
Last modified
12/6/2019 5:54:59 PM
Creation date
12/6/2019 4:49:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011868
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
Tags
EHD - Public
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2795 2nd Street Suite 300 �. <br /> FF <br /> Davis,CA 95616 <br /> Lab:530.297.4800 <br /> ANALYT/CAL 1-cc Fax:530.297.4808 Lab No. <br /> Project Contact(Hardcopy or PDF To): YL-Y) z�- Page 1 of 1 <br /> Rich Johnson California EDF Report? E]yes [D No Chain-of-Cu$tody Record and <br /> CompanylAddress: Analysis Request <br /> ecornmended but not mandatary to camplete Chia aecion: <br /> ApexEnvirotech,Inc. Sampling Company Lop Code: Analysis Request <br /> 11244 Pyrites W .,Gold River,CA 95670 (- <br /> Phone No.: Fax No.: Global ID: H <br /> 916-851-0174 916-851-0177 T08 <br /> Project Number: P.D.No.: 83 <br /> !`[7F Deliverable To <br /> ER402mail dress): CO C +� Ohr <br /> .D04 ohnso a vir tech.com <br /> Project Name: Sampler o to 24hr >w <br /> Moore Petroleum W U N '� 0 O O <br /> Signature: _ _ � N a � <br /> Project Address: Sam Iln w i 8 w . T v 1- 48hr b <br /> P Conti reservative Matrix o a N „ o O <br /> 5491 F Street Banta,CA o ' _ N _ 8 72hr <br /> Sample � � = � O �- <br /> p w w �, w w m a n 3 m 2 w <br /> Designation a o °° z F- ° cc �; �, m x N 1wk <br /> Date Time et cn Iw— x �? Z ¢ O a + z x Y Sc xCO °N° a C <br /> m m m ° ° a s Ok <br /> V GAG-EFF '(}� 13;00 X -J LU <br /> X X <br /> V-GAC-MID ; -d� 13,10 X X <br /> X x ; wk <br /> 6 <br /> VEWMAN -1�1-QY 13 f9 X X <br /> X X X 1 wk (fl- <br /> 1 wk L6 <br /> Rel[nq sh Date Time Received by: <br /> Remarks: <br /> q-Wy 0600 <br /> Relinquish Date Time mmelved by: <br /> Relinquis d Date Time Received by Laboratory: <br /> 8111 to: , <br />
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