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ARCHIVED REPORTS_XR0009754
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SECOND
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3500 - Local Oversight Program
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PR0545680
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ARCHIVED REPORTS_XR0009754
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Entry Properties
Last modified
5/20/2020 2:53:14 PM
Creation date
5/20/2020 2:40:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009754
RECORD_ID
PR0545680
PE
3528
FACILITY_ID
FA0005535
FACILITY_NAME
THIEMANS SERVICE
STREET_NUMBER
106
STREET_NAME
SECOND
STREET_TYPE
ST
City
RIPON
Zip
95366
CURRENT_STATUS
02
SITE_LOCATION
106 SECOND ST
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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LSauers
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EHD - Public
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ATC ASSOCIATES, INC <br /> �T <br /> CHAIN OF CUSTODY <br /> Project Information Report To Samples Submitted To <br /> Project No �C,,+, z Q S ©r Consultant ATC Associates Inc Laboratory Argon Labs <br /> Address 3037 51h Street <br /> Project Title � {�� Address 1117 Lone Palm Avenue Suite B <br /> Location �WIewW &VX V, u2/1 SIC—%L— Modesto Caldvrnia 95351 Cres CA 95307 <br /> 10 G ���� S n Contact -3 eaXkyl- Contact P�l Mvo' <br /> Sampler s Name 1 w Phone (209)579 2221 Phone (209)501 9280 <br /> 1pnnl) F l 0 Fax (209)579 2225 Fax (209)581 9262 <br /> Sampler's Signature A "`� �j_ Bill To Date Results Required <br /> Client Same Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> (s Day) (ID Day) m <br /> El 1:1 b C <br /> tu y13 <br /> 0 � <br /> 3i41 <br /> S EL T <br /> r o COMMENTS <br /> 92 <br /> Sample ID Date Time 4 Containers Matrix I Preservative <br /> B1603 123 t� ✓ <br /> v� �5Ll I <br /> M�nf 5 1��� � ✓ <br /> Relln ulshe By r' Dale /0- <br /> Time bale Time SPECIAL INSTRUCTIONS 4g,,;�nyy 4- � f� l(a_ �D �->I �� G(� -lac rr►a'�` <br /> Relinquished Sy Dete Time Received By Dale Time 1OI <br /> '53 <br /> Rerinqulshed By Dale Time Received By Dale Time 11 <br />
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