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3500 - Local Oversight Program
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PR0545054
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Last modified
12/11/2019 11:58:14 AM
Creation date
12/11/2019 11:08:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545054
PE
3528
FACILITY_ID
FA0003939
FACILITY_NAME
BURKETT'S POOL PLASTERING INC
STREET_NUMBER
337
STREET_NAME
FOURTH
STREET_TYPE
St
City
RIPON
Zip
95366
CURRENT_STATUS
02
SITE_LOCATION
337 FOURTH St
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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Lab Report# <br /> � � <br /> GeoAnalytical Laboratories Inc. <br /> Regulatory ❑ Yes ❑ No f) <br /> 1405 Kansas Avenue Phone: (209) 572-0900 Regulator: <br /> Modesto,CA 95351 Fax: (209) 572-0916 <br /> Phone: (u5) <br /> Client: !/'e T ��—�� L d L ' CHAIN OF CUSTODY Fax: (;to S!t d I C Sl <br /> Address: To: <br /> Ir <br /> City Zip f§ <br /> Project ID w a l `FA • d t k,njN <br /> Lab Use Only <br /> Sampled By a L-4.- <br /> (Sign <br /> -V(Sign Container u ZQ X <br /> ° Lab ID# <br /> Sample type ° ,s <br /> Sampic LD ` a <br /> Date TimeT'pe s1Ge <br /> Grab Comp Matrix - ' <br /> Oi, `. i- Remarks Remarks X ,1'1}1 7 0 <br /> A Cc n <br /> I <br /> I <br /> Remarks / <br /> � � c1��r i� GA- c� <br /> ±RcwJ (Sig W Date lug Receive) y(Si azure) < Uu Tinie <br /> RclinquislKJby ignature) Ume 'I'iuk Recti eJb (Si urc) D to Tinx <br /> Preservative: @-4°C -HCI &Na0H ®-Na2S203 Q-HNO, ©-H2S Oq @-Ot er ®-Other <br /> Driving Tim: Total Hours <br /> Site Tirrc: <br /> I Stan: - Finish: Total Hours: Stan: Site Arrival: a2= - <br />
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