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ARCHIVED REPORTS_XR0008397
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SANTA FE
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23569
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2900 - Site Mitigation Program
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PR0541936
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ARCHIVED REPORTS_XR0008397
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Entry Properties
Last modified
5/18/2020 12:05:14 PM
Creation date
5/18/2020 11:32:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008397
RECORD_ID
PR0541936
PE
2957
FACILITY_ID
FA0006149
FACILITY_NAME
RANCH MARKET
STREET_NUMBER
23569
Direction
S
STREET_NAME
SANTA FE
STREET_TYPE
RD
City
RIVERBANK
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
23569 S SANTA FE RD
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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I CHAIN OF CUSTODY RECORD M7e SHERWOOD LABS <br /> PO BOX 937 <br /> ShoopMR 8071 N under Avenue HILMAR,CA 95324 <br /> PO Box 937 <br /> Hilmar,California 95324 <br /> Labs (209)667-5258 nuentlon Phone <br /> C O R P O R A T I O N FAX(209) 667-2581 STEPHANI ROS50W 209-667-5258 Page of <br /> Job Number PO N P ect Name o <br /> c <br /> Samplers (Sgnature) Srk Address 1 �y <br /> a 35 A s, <br /> SAMPLE LOCATION DATE TIME NUMBER TYPE SAMPLE <br /> (IDENTIFICATION) WT wnvmFI) (HOOP MIN) of {GRM OR MATRIX <br /> CONTAINERS COMPOSITE) REMARKS <br /> robf- <br /> -D— 10: <br /> ' a <br /> sfow-3 1305 <br /> -'i <br /> 07 M A X50$ <br /> � - !� <br /> z <br /> 0 <br /> "inqu ad By (Sgnatwe [IatefTirne Receives IS aIu ) DaterT e <br /> „�� 9� I,zoo TURMAROUNDTIME <br /> ehngwehed (5griffl—) DaIBChme Reomk*d By (Sq DaleffFme 24 HOUR ❑ <br /> 48 HOUR ❑ <br /> 5 >( <br /> Reringwshed By (Signature) oe <br /> ) Date/Time Flewed By (Signature) Datemme DAY <br /> i <br /> I' <br /> UTION Original Acoompan,es Shipment Canary Copy Sherwood Pink Capy Sampler NOTE Samples are discarded 30 days after results are reported unless whey ments are made <br />
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