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EnvironmentalHealth
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10842
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3500 - Local Oversight Program
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PR0545272
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Last modified
1/31/2020 6:00:03 PM
Creation date
1/31/2020 4:30:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545272
PE
3528
FACILITY_ID
FA0006898
FACILITY_NAME
RAMOS OIL-FRENCH CAMP
STREET_NUMBER
10842
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19333028
CURRENT_STATUS
02
SITE_LOCATION
10842 S HARLAN RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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Argon Analytical Services, Inc. <br /> CHAIN OF CUSTODY <br /> Project Information: Re ort To: Samples Submitted To: <br /> ConsuRent: Lee&Pierce,Inc. Laboratory: Argon Labs <br /> Project No: EN-06516 Address: 2905 Railroad Avenue <br /> Project Title: Benet,French Camp Address: 546 Abbott Street,Suite 20 <br /> Saunas,CA 93907-4323 Ceres,CA 95307 <br /> Location: 10842 S.Haden Road,French Camp,CA Contact: John Lane Contact: <br /> Sampler's Name: John Lane Phone: 831-758-0096/ 209-484-5312 cel Phone: (209)581-9280 <br /> Fax: 831-758-1213 Fax: (209)581-9282 <br /> (print) Date Re sults Required: pjj�l�w <br /> Bill To: ll l w <br /> Sampler's Signature <br /> Client: Lee&Pierce,Inc. Dale Report Required: <br /> Address: <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Stantlard Special <br /> (5 days) (10-14 days) N X11 <br /> 0 0 QEJ <br /> m _b <br /> m � ` O Y <br /> Z X U O <br /> 0 w COMMENTS <br /> Preservative <br /> Sam Ie ID. Date Time #Containers Matrix <br /> l <br /> I0.5 q(-fo 01r-f <br /> �ttw3-15:S 0755 <br /> ALV3— 0$0 f <br /> MW3_2S_S o$to <br /> Mw3-�s 0 B <br /> I <br /> Relinquished By: Datp:, Time: Received By:I I Date: L Time: O SPECIAL INSTRUCTIONS: <br /> "( Ivn�_ Email preliminary results to llane@leeandpiercewm <br /> Relinquished By: <br /> Data: Time: Received By: Data: Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: <br />
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