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ARCHIVED REPORTS_XR0011880
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_XR0011880
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Entry Properties
Last modified
12/6/2019 5:57:38 PM
Creation date
12/6/2019 4:52:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011880
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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rirA <br /> F2795 2nd Street Suite 300 <br /> Davis,CA 83616 <br /> Lab:530.297.4800 Lab No. {p Page 1 of 1 <br /> IVALYT/CAL LLC Fax:530.287.4808 — <br /> Project Contact(Hardcopy or PDF To): California EDF Report? El Yes No Chain-of-Custody Record and Analysis Request <br /> Rich Johnson <br /> Company/Address: w*mmrnd*d but not mandatory to compiatr Oft seeUon. Analysis Request <br /> Apex Envirotech,Inc. Sampling Company Log Code: <br /> 11244 Pyrites Wy.,Gold River,CA 95670 <br /> Phone No.: Fax No.: Global ID: Q 12hr <br /> 916-851-0174 916-851-0177 T06 3 $ .� ui O <br /> Project Number: P.O.No.: EDF Deliverable To mrAddress):. m 3 a+ <br /> M— m <br /> m 24hr <br /> ERA02.004 'ohns a nvir ch.com N 0 $ m w m 0 0 o <br /> Project Name: Sampler w S � a 48hr a <br /> Moore Petroleum Signature: m ;_ o m m wa O O <br /> Project Address: Sampling Co tai Preservative Matrix .. .9 2 a a o I N 72hr .� <br /> 0 <br /> 5491 F Street,Banta,CA0 z e ' mo <br /> Sample E a m <br /> M z w a I - g rn 9 O <br /> o a 0 2 uni U Z W O a 0 a x a m a m R 2w <br /> Designation FPT Nam pate Time v rn a� ¢ x z v z rn ¢ m m � �, �, ^ a w <br /> VGACEFF VEFF S pf � X X X X I 1 v, bt <br /> VGACMID >< X X X X 1 wk cW— <br /> VEWMAN VINF X X X X 1 wic bZ <br /> Reli qui h Date Time Received by: Remarks: <br /> -G w 0836 <br /> Relinquia y: Data Time Received by: <br /> Relinqui h Y. Data Time Received by LaboratorykP Bill to: <br /> �Jb� 5� t�- irf L`��. <br />
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