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ARCHIVED REPORTS_XR0003845
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WALNUT GROVE
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9015
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3500 - Local Oversight Program
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PR0545731
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ARCHIVED REPORTS_XR0003845
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Entry Properties
Last modified
6/4/2020 12:13:24 PM
Creation date
6/4/2020 12:01:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003845
RECORD_ID
PR0545731
PE
3528
FACILITY_ID
FA0004572
FACILITY_NAME
LOPEZ, ADOR
STREET_NUMBER
9015
Direction
W
STREET_NAME
WALNUT GROVE
STREET_TYPE
RD
City
THORNTON
Zip
95686
APN
00114040
CURRENT_STATUS
02
SITE_LOCATION
9015 W WALNUT GROVE RD 11
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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LSauers
Tags
EHD - Public
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4080 PIKE LANE. SUITE C CHAIN-OF-CUSTODY RECORD <br /> CONCORD, CA 94520 33093 <br /> (510) 685-7852 AND ANALYSIS REQUEST l�- (� tb" 1 Z 3 / <br /> lGTPL <br /> (800) 423-7143 1 <br /> Company Name Phone# '�-I (. _7 ?Z x-(70.6 <br /> C-� UNfl c.Ll t n.t FAX 9 116 37Z � ❑ <br /> Company Addr ss Site Location z ❑ ❑ <br /> 0/ r 2 6 SBS 1 +^- fi ❑ ❑ n q ❑ <br /> m H Q <br /> Pro eet ana Client Project fl7 (t!) 6 2 6� 00 S'3 ❑ + Q © U ❑ <br /> iesl that the proper held sampling Sampler Name(Print) g ❑ m M v ❑ ❑ m R rl o, m <br /> procedures were used during the C _ o a © n ❑ o a U J Q t 1 <br /> collection of these samples 3 oo y ❑ t a c a m ❑ q° to � a <br /> Method © '° 3 o m a U m m ❑ a C"I 0 <br /> Matrix Sampling m a CD E) w a a o li ❑ - p a N ! 1 LL <br /> Field GTEL z preserved O x c c C1 w w m Q a m m y U <br /> Sample Lab# a ~ N y m A ❑ ❑ ❑ a 4 ❑ g ro A N v <br /> ID (Lab Use z u°Ci J p a umi wW wE w w X c n O d c o <br /> ` co <br /> only O� p a a ¢ c� z v g W r a rw- >' a = as o na. a as a a a a a 0 a a m P o <br /> 3 w a m a o x x x _ �H o o m m x x O w w w w w w w w w s- w v o cy <br /> Z31 ow )0 ts <br /> y ,6 u z-X5: — — <br /> 22 /Dei <br /> 162 oLo <br /> b <br /> 86 / a o z� yam' <br /> 8 ! — 016 yid <br /> 6 ydo <br /> � ll p� yYv <br /> �-� 6 <br /> TAT Special Handling SPECIAL DETECTION LIMI 5 REMARKS <br /> Priority(24 hr) « GTEL Contact / �� 1416� Expedited(48 hr) 177 OuoteJContracl# <br /> �Gu1�[/J <br /> 7 Business Days L1 Conhralation fi <br /> Other <br /> Business Days [ PO # SPECIAL REPORTING REQUIREMENTS Lab Use Only Lot# Storage Location <br /> 0410C Level <br /> Blue❑ CLP rl Others FAX❑ Work Order tf <br /> Taw+(' (, Ai Iv,ir1(, <br /> Relinquished Ift Sampler ate Time c ed by <br /> CUSTOD <br /> RECORD 2 <br /> i hn ished b � Ate /Time R ei ev d <br /> Re nquished by Date Time Received y Laboratory <br /> Waybill# <br />
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