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ARCHIVED REPORTS_XR0009754 (2)
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PR0545680
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ARCHIVED REPORTS_XR0009754 (2)
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Entry Properties
Last modified
5/20/2020 2:55:48 PM
Creation date
5/20/2020 2:40:45 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
Tags
EHD - Public
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ATC ASSOCIATES, INC <br /> CHAIN OF CUSTODY <br /> Project Information Report To Samples Submitted To <br /> Project No (o�Os' O OQ/ Consultant 're, AsSaG Laboratory Argon Labs <br /> Project Title Address Address 3037 5th Street <br /> Location Address (�V � (,,,,_ <br /> yl ��'�. Cer2� GA 85307 <br /> 'iOD Contact J S+Y4 g5-3$� Contact 1'71 Kit*A <br /> Sampler's Name I/ Phone Z Ute— <br /> Z "5e-�-( Phone (209)581 9280 <br /> (print) re-k 7-10 Y~6 S Fax 111 Fax (209)581-9282 <br /> Sampler's Signature �C �" 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 Cr <br /> (5 Day) (10 Day) z <br /> EJ E:1 Q <br /> COMMENTS <br /> Sample ID Date Time #Contamers Matrix Preservative <br /> AUR 3 o C <br /> 9111115 51 <br /> Alds /yz-s q !/ <br /> MUM /:ayo <br /> 336 <br /> !35 <br /> y o goo ✓ <br /> ReII qu hed By Date Time Receiv y Date Time SPECIAL INSTRUCTIONS Sdb 0"J' CIA <br /> a <br /> �. q47-c-1 Cq (v Lf-r 1 �s Oq �� tit eol znjetr <br /> Relinquished By Date Time Received By Date Time � ,ID 7060 F 76056 <br /> Relinquished By Date Time Received By Hate Time <br />
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