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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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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 /> Project Information: Report To: Samples Submitted To: <br /> Project No: WIL02.003 Consultant: Apex Envirotech,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) _ � Fax: 916-851-0177 Fax: (209)581-9282 <br /> Sampler's Signature: ! Bili To: Global ID#: <br /> Client: Apex Envirotech,Inc. Date Report Required: _ <br /> /�L Gri c✓ y ` Address: 11244 Pyrites Way <br /> Gold River,CA 95670 <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special 1 <br /> (5 days) (10-14 days) <br /> �zG <br /> 0 0 D a� <br /> a <br /> F r <br /> -M+ w f COMMENTS <br /> Sam le ID. Field Pt. Date Time __!Containers Matrix Preservative <br /> /-A ry., i ir0..39 i <br /> cxN <br /> Esc N _ (i I Lr X <br /> rnS 107,1 <br /> Ex5 <br /> F n s c /O cr 7 <br /> �Kf3- 3 /v`-- 4:41 <br /> E1� i3' Li l v <br /> f?elinquished Dalt - Time: Res rved ey: e:, Time: SPECIAL INSTRUCTIONS: ;j`,c) <br /> 2,0 <br /> mquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By: Date: Time: - "'A �`" •-� <br />
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