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ARCHIVED REPORTS_XR0004521
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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JriMLL VIL k UIVIVAINY ( CHAIN OF CUSTODY RECORD Dal 0/7/98 <br /> ETAIL ENVIRONMENTAL ENGINEERING - WEST Sorlal No: `18100-7 --1 1'ng <br /> Silo Addross: 341 East Main St. Ripon, CA Analysis Required LAB: _—_ S YilD <br /> WICK: 204-6522-0307 C111CK ONE III aox0111Y Crim TURN AROUND TIME <br /> 1� <br /> Shell Engineer: s:W monlodng 411) <br /> 9 Phone No •3(510) � � 24 hot" ❑ <br /> Karen Petryna 1Foxz�:6-2 797821 -4 � fRalnrollgdlon ❑ U41 0 r,41hau ❑ <br /> Consullant Name & Address: g c> farCkmityroapalnl ❑ 1113 <br /> co 16dayo O(Noinwp <br /> Wd`I 111] °1h <br /> IL r C1W 11ymllpalal El ❑ <br /> Consuilanl Conlacl: Phone No : (408) o '- " <br /> .. a ry00 O o SIM Rom of s ! ❑ /J77 <br /> Francis Thie 73 0 `" �s y <br /> �G O w q •n NO[V !lathy lab al <br /> Commenis• () Q N ►�+ - 03MR`marfy. ❑ 4117 loan al/a!lRslaal <br /> " to 71//ihu 1A1 <br /> 17 AO O <br /> q Q ADCa. C <br /> aaA <br /> 1 <br /> Z <br /> olhor 11Sampled by: VCV G <br /> Co O C <br /> o . o <br /> Co UST AGENCY: <br /> U <br /> N <br /> Printed Name: u a M a c T a <br /> �- IBJ 111 v = O ,[) 1, N <br /> .. a. ° MATERIAL SAMPLE <br /> Sample I� Dale Slud a Satl Walar At[ No of x IJJ T) N C D C E CONDITION/ <br /> P coni: ��. m y ,00 w Q U a rj DESCRIPTION COMMENTS <br /> aka W bIre[y# <br /> Oa P2' <br /> — 1 <br /> ph <br /> Rnllnqulfho y"(slnr P1lnlad Noma: polo o-$=9f R Calvo ($l nalula P nlad Nonw: r Dola:td-S-z <br /> 5 S►�� a d-� .l�G�s ,�..,5' �� - nmg• cam} <br /> �11nqu1 ed ey <br /> POO ad �ma: paloP- -)r Rocolvad(slpnolul )• P11nla pato: <br /> A e-5 /�onJ 11ma 11ma: <br /> tj Ishad Oy(slgnalura): P1lnlad roman��1_ Rucolvud(sIU Iwu) Pilnlad Name: pQto; d� <br /> Tlmo, n 0 o—wU S Rma: <br /> THE 60RAWHY MUST PRUDE A C4PY_4F 11115 CHAIN-Of <br /> na 01 oft a <br />
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