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ARCHIVED REPORTS_XR0005797
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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F
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FRONTAGE
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935
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3500 - Local Oversight Program
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PR0545617
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ARCHIVED REPORTS_XR0005797
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Entry Properties
Last modified
4/28/2020 1:58:59 PM
Creation date
4/28/2020 1:07:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005797
RECORD_ID
PR0545617
PE
3528
FACILITY_ID
FA0005557
FACILITY_NAME
RIPON FARM SERVICE
STREET_NUMBER
935
STREET_NAME
FRONTAGE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
26102007/2011
CURRENT_STATUS
02
SITE_LOCATION
935 FRONTAGE RD
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Advanced � � CHAIN OF CUSTC�'7kof --&I� <br /> GeoEnvironmental, Inc. °tee ase <br /> 837 Shaw Road-Stockton California- 95215- (209)467-1006- Fax (209)467-1118 <br /> Client � �'.�C(f ��G Pro Manager � <br /> ��L �`...,.��. L4Tests Required <br /> P NuFqler <br /> L- —7L( <br /> plers tg lure) oice <br /> ;��� <br /> Project Name ACE � <br /> � �- �� Tient <br /> Sam'pl"e Type ,L <br /> Sample Location Date Time Water Solid No of L Notes <br /> Number Description comp Grab Air Conts <br /> 41 CPQ& <br /> ti= ENT SPACEA13 <br /> DECHLORINAf <br /> 1At LAB PRESFAVED IN LA <br /> PRESE11VATI <br /> EogaReceived gn� yre pL{pDiaateG(Timetr <br /> lr <br /> Qw2inqulishe:d <br /> ' <br /> y (Signature) Received y (Signature) Date/Time <br /> Reim uished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) r DaiafTimeReceived#of Laboratory by Date/Time <br /> R <br /> Method of Shipment � Lab ra cry Name <br /> Special Instructions t ( I he eby authorize the rfor ance of the above indicated work <br /> RECD SEALED&INTACT VIAS--��---•-- <br />
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