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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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22754
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2900 - Site Mitigation Program
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PR0537973
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COMPLIANCE INFO
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Entry Properties
Last modified
3/26/2020 3:17:27 PM
Creation date
3/26/2020 3:05:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0537973
PE
2950
FACILITY_ID
FA0021921
FACILITY_NAME
WILLIAMS TANKER SPILL
STREET_NUMBER
22754
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
ROW
CURRENT_STATUS
01
SITE_LOCATION
22754 E MARIPOSA RD
P_LOCATION
06
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Argon Analytical Services, Inc. <br /> CHAIN OF CUSTODY <br /> Pro'ect Information: Re ort To: Samples Submitted To: <br /> Project No: WIL02.003 Consultant: Apex Envirolech,Inc. Laboratory: Argon Labs <br /> Project Title: Williams Tank Lines Emergency Spill Address: 11244 Pyrites Way Address: 2905 Railroad Avenue <br /> Location: 22754 Mariposa Road Gold River,CA 95670 Ceres,CA 95307 <br /> Escalon,CA 95320 Contact: Michael van den Enden Contact: <br /> Sampler's Name: Michael van den Enden Phone: 916-851-0174 Phone: (209)581-9280 <br /> (print) � _(\{/J Fax: 916-851-0177 Fax: (209)581-9282 <br /> Sampler's Signature: ` Bill To: Global ID#: <br /> Client: Apex Envirotech,Inc. Date Report Required: <br /> Address: 11244 Pyrites Way <br /> Gold River,CA 95670 <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> (5 days) (10-14 days) o <br /> N <br /> m <br /> T <br /> � C <br /> � O <br /> = N <br /> IL <br /> Cc <br /> ~ LL <br /> COMMENTS <br /> Sample ID. Field Pt. Date Time 0 Containers Metrix Preservative <br /> i5 ry ,3 �ti sem./ <br /> V3 - 5- c1 !U uz� <br /> — <br /> elinqui. Date:�� Time: Receivod By,..-._ Date: Time: rSPECIAL INSTRUCTIONS: ; 1, <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: Date! Time: Received By: Date: Time: <br />
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