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ARCHIVED REPORTS_XR0004521
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0506186
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ARCHIVED REPORTS_XR0004521
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Entry Properties
Last modified
3/6/2020 3:27:07 PM
Creation date
3/6/2020 2:48:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004521
RECORD_ID
PR0506186
PE
2950
FACILITY_ID
FA0007258
FACILITY_NAME
RIPON SHELL
STREET_NUMBER
341
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
26114007
CURRENT_STATUS
01
SITE_LOCATION
341 E MAIN ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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v1I/ %JII v1 %.V.JiLJL! 1 RL.L.VKV —"Sw. <br /> RE-TAII. ENVIRONMENTAL. ENGINEERING - WEST Sorlal No: 161110 '31- Page of) . <br /> Site Address: I <br /> 341 East Main St. ],upon, CA Analysis Required LAB: S"ev,�kln„„• <br /> wlC � c1f1cx ONE(1)1 O ONLY 0/01 TURN AIOVHD 11M9 <br /> 204-6522-0307 1,t� <br /> Qi <br /> Shell Engineer. f Phon© No : (51 � cw. v4doft In4111 24 hours ❑ <br /> Karen Petryna 1FaxV,'-?PT) <br /> 27821 $10InvoiRodbn ❑ 4411 A$bours ❑ <br /> Consultant Name'&Address: S soRclasslty/Ellrposal ❑ 4t1, <br /> 1 9 t{days E]IHo:nw11 <br /> X wda <br /> Consultant Contact: Phone clasfr <br /> yMbpaal <br /> . ❑ _ ❑ <br /> — al N SolvAkRem of Sys <br /> Francis Thie Fa l# -0M-7771 0 d vo cd O A M ❑ 4/S: <br /> � .yr HOr[ Heli[y Lab of <br /> Comments: i _ LZ a wdef Rem ofSyesoon as foslble of <br /> C3 <br /> ,q n O a M ❑ us> >IN A <br /> 0 0 <br /> "l7 <br /> n. 01hef <br /> 11 <br /> Sampled by: I ”' o n o c m G }`- <br /> q co in — ; o e UST AGEN : <br /> Prinled Name: S -�+'� 13L. w o A o c 0 <br /> LU Ui d f. MATERIAL MPLE <br /> Sample IDI Dale Sludge son Water Air NO °( x to -6 N o $ CONDITION/ <br /> f conls j ,� a U U DESCRIPTION COMMENTS <br /> i <br /> Y <br /> I <br /> 3 <br /> Rally had y sig I Pa): Prinled Name5 1I Dale ij 1 �� Race 1pna! <br /> ro P Hied Noma. <br /> 1141nquf d By(signal Pllnlad Npme Dalo • Received ot_,pna ure)• Pr Hied Noma:%gUshrd B flpnalwe). Pflnled Na Dale RucuNad(slU lura) Pflnlad Name. Del <br /> Time. I �, �mvt <br /> I <br /> IMd M <br /> - r <br />
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