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ARCHIVED REPORTS_SITE STATUS REPORT 2018 2ND QUARTER
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0009051
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ARCHIVED REPORTS_SITE STATUS REPORT 2018 2ND QUARTER
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Entry Properties
Last modified
2/5/2020 3:33:00 PM
Creation date
2/5/2020 11:59:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
SITE STATUS REPORT 2018 2ND 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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❑ ❑ ❑ ❑ L e <br /> 1 <br /> 0 <br /> TestAln aSan Francisco <br /> 42?0 Quarn 1,lane ne TestAmedca 021� \ <br /> Chain of Custody Record ,, ,t A)—IN LNY ;'J JMIis:rl it ti!!N6 17 <br /> Pleasanton,CA 91566 (Ab <br /> phone 925 494 1919 fay 925 600 3002 TestAmericu Laboratories,Inc. <br /> Client Contact Project Manager: Sinayak Acharya Site Contact:Mark Czipka Date: 1, COC No <br /> ECM Consuitants Tewax: (661)2551693 Lab Contact:Dimple Sharma Sampler: ,c 1, c of _ COOS <br /> 3525 Hyland Ave Suite 200 Analvsis Turnaround Time Job No <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W) C <br /> (714)662-2759 Phone TAT,FdiRcrent from Be€- <br /> (714)662-2758 FAX © 2 weeks SDG No <br /> Project Name. Nestle O I week <br /> i <br /> Site. Ripon,CA EJ 2 days T <br /> Po# <br /> I day .� <br /> a <br /> w <br /> u <br /> Sample y or <br /> Sample Identification Sample?]Date Time Pres. Matrix Cont. 2 Sample Specific NnteB <br /> TB- CJ's Dy 1 Slf� r � HCI H2O 2 X <br /> 7501 KIERNAN 2008 EFT St�l 016 HCI H2O 3 X <br /> N <br /> 7501 KIERNAN 2008 MID �� �+ }ICI 1120 3 X <br /> 7501 KIERNAN 2008 INF J,` HCI H2O 3 X co <br /> N <br /> N <br /> 5725 HALL 2009 EFF ��f �O=C?r`t HCI H2O 3 X a_ <br /> 5725 HALL 2009 MID 1()of HCI H2O 3 X 72 0-8 5 696 Chain of Custody <br /> 5725 HALL 2009 INF it)`,1 HCI H2O 3 X <br /> 802 VERA EFF a ��', HCl H2O 3 X <br /> 802 VERA MID ;: HCl 1120 3 X <br /> 802 VFRA INF 3.Q MCI H2O 3 X <br /> Preservation Used: 1=Ice, 2=111C]; 3=H2SO4; 4=1INO3; 5-Na011;6=Other <br /> — 44 <br /> Possible fla;ard Identification Sample Disposal(A fee may be assessed if samples are retained longer than I month) <br /> lr--] Noir-yuNunl = I holl"whle Skin liritaw Polwnf R (hiknomw ©Return To Client ©Disposal By Lab =Archive For Months <br /> Special Instructions/QC Requirements&Comments: NO GEOTRACKER / ff <br /> f4) v <br /> t <br /> Relinquished byI Company Date/'ftmc Received by Company fest Antenca Dal fr me <br /> J ECM Consultants <br /> C <br /> Relinquished by Company- D It IT e Received by Company Date me <br /> y y fly r��s I�,.�❑P�' TA .322 <br /> Relinquished b} Companv Daterl'nne Received by Company Date/time <br />
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