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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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O
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120 (STATE ROUTE 120)
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17717
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3500 - Local Oversight Program
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PR0545633
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FIELD DOCUMENTS
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Last modified
11/19/2024 4:01:08 PM
Creation date
5/4/2020 12:42:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545633
PE
3528
FACILITY_ID
FA0000695
FACILITY_NAME
MOOD-N-FOOD MART
STREET_NUMBER
17717
Direction
E
STREET_NAME
STATE ROUTE 120
City
RIPON
Zip
95366
APN
20322020
CURRENT_STATUS
02
SITE_LOCATION
17717 E HWY 120
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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LSauers
Tags
EHD - Public
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LEE & PIERCE inc. <br /> CHAIN OF CUSTODY/ANALYSIS REQUEST FORM <br /> LABORATORY: LAB PROJECT#: <br /> Name: Argon Labs <br /> Address: Railroad Ave, Ceres, CA <br /> Phone: 581-9280 <br /> Report to: Bill to: Project Name: Project#: <br /> Lee & Pierce Inc. Lee & Pierce Inc. Gubary Liquors EN08640 Indicate Anal sis Requested <br /> 135 S. Fifth Ave., Suite C 546 Abbott St., Ste. 20 Tele: 209-848-8270 Contact: in <br /> Oakdale, CA 95361 Salinas, CA 93901 Fax: 209-848-8274 John Lane in N <br /> Sampl d by signature) Al of samples Date f S ipment: Date re It needed: p W <br /> \ qos <br /> A RIX SAMPLING Z <br /> OD r L <br /> SAMPLE NO. LOCATIONlOESCRIPTION _ <br /> m a� m w m a! y Mto <br /> N (n Q L i9 E L 7 <br /> LU? � t] •� 0 <br /> cr <br /> c <br /> N <br /> N6 N <br /> W S -i <br /> 1 GL-S61-10.5 Soil sample at 10.5 ft x 061108 0852 2*tube 1 x <br /> 2 GL-SB1-15.5 Soil sample at 15.5 It x 061108 0902 2'tube 1 x x x 2— <br /> 3 GL-S131-21 Soil sample at 21 ft x 061108 0909 2"tube 1 x x x 3 <br /> 4 GL-SB1-25.5 Soil sample at 25.5 ft x 061108 0919 2"tube 1 x <br /> 5 GL-SB1-30.5 Soil sample at 30.5 ft x 061108 0930 2"tube 1 x <br /> 6 GL-SB1-41 Soil sample at 41 ft x 061108 1027 2"tube 1 x r' 1J0 <br /> 7 GL-SB1-45.5 Sail sample at 45.5 ft x 061108 1040 2"tube 1 x 1 [ t <br /> 8 GL-SBI-50,5 Soil sample at 50.5 ft x 061108 1057 2"tube 1 x <br /> +r� <br /> 9 GL-SBI-55.5 Soil sample at 55.5 It x 061108 1111 2'lube 1 x x x <br /> 0 GL-SB1-W55 Water sample at 55 ft x 061108 1125 40rnt HCI 4 x x x ::tt <br /> Released b (signature) Date/Time: Rqceived by: (signature) Daterrime: Shipped Via: Condition Noted: <br /> Turn Around Time: 23 Standard ❑ Rush s eci : <br /> CommentsfSpecial Instructions: <br /> Email to jlane@ieeandpierce.com <br /> Re%W/0 l",U cu ix'>>Is and 5cuin-pW1 <br /> i wig Un umrn�ti_I d�+ Admai Icngil;ucdl,Pl'l)l I duc <br />
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