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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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12 (STATE ROUTE 12)
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8751
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3500 - Local Oversight Program
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PR0545718
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Last modified
11/19/2024 3:47:34 PM
Creation date
6/3/2020 11:18:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545718
PE
3528
FACILITY_ID
FA0005526
FACILITY_NAME
K2 LOGISTICS
STREET_NUMBER
8751
Direction
E
STREET_NAME
STATE ROUTE 12
City
VICTOR
Zip
95253
APN
05139001
CURRENT_STATUS
02
SITE_LOCATION
8751 E HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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Chain-of-Custody Record N2 3690 Date: cy '2 — 00 <br /> Project No.: / 50 ANALYSES rJ REMARKS +•.. <br /> Samplers(Signature <br /> � Additional Comments <br /> 4 N N a co O 2 TL g L <br /> 'n 0 m� 4) <br /> CO CO CO CO m m CO _ C - <br /> O O Oz O a a 4 � - - �� C <br /> L L LZ t L L L O — <br /> m m z a m m m m c O C7 a ? v U �X � 3 N culo <br /> X m a� 2 m 0 <br /> Date Time Sample Number 4¢ d 4 a< ii Q m ? o1:15. <br /> ~' �' o a <br /> w w w i° w w w w cD a U rA tiT a U z <br /> 2 0� '• 5 �1(:i I AYVA � <br /> ' T5 14+ <br /> eDD <br /> Laboratory: Turnaround Time: Results to: <br /> PPL Total No.of containers i <br /> e'n i (signature): Re: Relinquished by(signature): Date: R quished by(sign lure): Date:_ i. <br /> P am Prin d Name: Printed Name: <br /> Time: Time: Tim Laboratory Comments and Lag No.; <br /> Co pany: t A Company: Company: <br /> Rec ' e by: e: Received by: Date: Re d b r te: <br /> Printed Name: : - Printed.Name:._`, Printe me: <br /> Time: Time: /7 /� Time: G80rsiatrix CoresuitantiB <br /> I ` 4/ 2444 Main Street.Suite 215 <br /> Company: 9� Company: Compan . Fresno,California 93721-2734 <br /> [559)264-2535 <br /> [559)264-7431 FAX . <br />
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