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ARCHIVED REPORTS_XR0009766
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_XR0009766
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Entry Properties
Last modified
5/20/2020 3:05:56 PM
Creation date
5/20/2020 2:44:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009766
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
Scanner
LSauers
Tags
EHD - Public
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SEQUOIAANALYTICALANALYTICAL Ef680 Chesapeakerave • Redwood Cit CA 94063. 650 364-9600 FAX 650) 3643 r <br /> y, <br /> ❑ 819 Striker Ave , Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN OF CUSTODY ❑404 N Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> Company Name �'�� S Project Name S ,v tG2. <br /> Mailing Address I I("7 (.0 A jp Billing Address (if different) <br /> City fACrState C.,4 Zip Code CMSS f <br /> Y <br /> Telephone _ 9 r. FAX # Z - "7q- PO # <br /> Report To ASH4 Sampler AtexTA-1; QC Data Veevel D (Standard) ❑ Levet C ❑ Level B C3Level A v <br /> Y <br /> Turnaround ❑ 10 Working Days ❑ Working Days ❑2-8 Hours 0 Drinking Water Analyses Requested <br /> Time 0 7 Working Days ❑2 Working Days ❑WW le Water <br /> ❑ 5 Working Days 1124 Hours Q,� V A 5Z 0 2ftr/,,1V f� <br /> Client Date/Time Matrix # of Cont Sequoia's /`, Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> vJ-- 3 oyaq�t ro -3 4Q s r+c <br /> 0 <br /> 2 vJ- Ipso vJ 3 �- ✓ <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 0 <br /> Cr <br /> 8 ai <br /> 9 <br /> 1 <br /> 10 <br /> Relinquished By ,�,� � J ,� Date "� Time Received By Date 9 9� Time <br /> Relinquished By Date �, Time Received By Date Time I 1 <br /> ,Relinquished By Date Time Received By Lab �4Dateqj <br /> Time ` S <br /> Qra SamnlPs RprpivPri in (,nnri (nnriition? ❑Yes U No Samples on lre? rA Yes O No Method of Shipment 0-s t j r f eq- Pane of <br />
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