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ARCHIVED REPORTS_SITE STATUS REPORT 2011 THIRD QUARTER
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0009051
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ARCHIVED REPORTS_SITE STATUS REPORT 2011 THIRD QUARTER
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Last modified
2/5/2020 3:21:20 PM
Creation date
2/4/2020 4:58:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
SITE STATUS REPORT 2011 THIRD QUARTER
RECORD_ID
PR0009051
PE
2960
FACILITY_ID
FA0000649
FACILITY_NAME
FORMER NESTLE USA INC FACILITY
STREET_NUMBER
230
STREET_NAME
INDUSTRIAL
STREET_TYPE
DR
City
RIPON
Zip
95366
APN
25938001
CURRENT_STATUS
01
SITE_LOCATION
230 INDUSTRIAL DR
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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7;W <br /> TestAmerica Sale Francisco u <br /> 1220 Quarry Lane ■j�{��7a Custody [$ Test nc <br /> Chaim `" Custody Record TE IC tEADER ik N-VM0NMFNTAL VCS7IKC <br /> P€easanton,CA 94566 ��Z <br /> pbone 925.484.1919 fax 925.600.3002 TestAmerica l tboratories,Inc. <br /> C1�ttt Contact Project Mangler: ilinayak Aeharya Site Contact:Chris McCormack Date: —7i7i COC Na <br /> Environmental Cast Management lnc.(ECM) TdTax. (661)255-1693 Lab Contact:Dimple Sharma Carrier. CM Of= CDCs ' <br /> 3525 Hyland Avenue, Suite 200 Aulpis Turnaround Time Job No. <br /> Costa Mesa,CA 92626 Calendar(C or Work Days(W) El(714)662-2759 on <br /> 759 Phe TAS'if different from Below � <br /> (744)662275$ FAX © 2 weeks SDG No. <br /> Project Name: Nestle © 1 week <br /> Site. Ripon,CA © 2 days <br /> PO# © lday Q a <br /> Sample Sample tf©t a C O ❑ <br /> Sample Identification Date Tin, Pres, Matrix Cont Sample Specific Notes: <br /> RC-1 ���i!€ D:St� HCl H2O 3 - X ❑ <br /> UPS-1 J OD HCl H2O 3 . X <br /> IQ 7717 Kiernan j= .� HCl H2O 3, X <br /> t 5724 Hall 13:OC HO H2O 3 X <br /> 1851 Robert HCI H2O 3 . X <br /> j 7969 Kiernan HCl H2O 3 X <br /> 7971 Kiernan -} HCI H2O 3 < X <br /> 110 Manley `� �y HCl H2O 3 - X <br /> 361 Parallel 3:t HCI H2O 31 X <br /> -)II11M 106�qo KL K6 <br /> 17 <br /> Pmerration Used: 1=Ice, 2=HCI; 3=H2SO4, 4=H€V03, 5-NaOH;6=Other <br /> Possible Ha ardldenrifrcadan -� Sample Disposal f A fee maybe assessed Ifsampies h; <br /> are retained longer than f mont <br /> ® ton Xa=m•d © Flammable FI Skin Irriton Poison B© vnkno:vp ©Return 76 Client El©isposal By Leb ©Archive For Months <br /> Special Instructions/QC Requirements&Comments: NO GEOTRyCKER <br /> —n <br /> L <br /> Relinquished by: v Company:Emironmental Cost DawTim f' Recd,; by: Ca env: DaterTitne: <br /> Mattagemcnt Inc, i3z <br /> -HL `7� <br /> -16 <br /> Relinquished by: Company: Datefrime: Received by: Company: Date/Time: <br /> Religiishcdby. Company- Datdrime: Received by: Company: Date1Time: <br /> Page 33 of 35 08/05/2011 <br />
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