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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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R
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ROTH
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2200 - Hazardous Waste Program
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PR0514234
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COMPLIANCE INFO_PRE 2019
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Last modified
11/18/2024 11:53:02 AM
Creation date
11/6/2018 8:41:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514234
PE
2227
FACILITY_ID
FA0010216
STREET_NUMBER
1000
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19820001
CURRENT_STATUS
01
SITE_LOCATION
1000 E ROTH RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS3\222IAError\IAError\R\ROTH\1000\PR0514234\COMPLIANCE INFO.pdf
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EHD - Public
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A 4)Analytical Sciences CHAIN OF CUSTODY <br /> / P Sox 750336 Petaluma CAyA;l.�- <br /> /VV 033b _ <br /> 1+t*AV Street Petaluma.CA 94W51 SUBCONTRACT LAB McCompbell Analytical <br /> 707',769.3128 AS Project Name V- ,A <br /> AS Project Number ;t l <br /> FCcCLIENT INFORMATION <br /> r.nlsany yName. ANALYTICAL SCIENCES EDT Requited NO <br /> Auoress. P.U.810A 151,133ti b'y'Sten) ID <br /> PETALUMA,CA 9497"336 TURNAROUND TIME(check one) <br /> Contact MARK VALENTINI <br /> Phone 0 707-769-3128 <br /> — i ax ti 707-769-8093 _ a. N:;>r:ai i'age t of <br /> ANALYSIS <br /> I <br /> Date S Prasv L.x <br /> Item CI ert Sample ID Sampled Time !datnx Cont Y Samp't z <br /> h — m z_ <br /> M� <br /> 9 <br /> SIGNA TURES <br /> Relinquished B Received By—. } <br /> 1e ) T Signature Date TtMe <br /> _ i �- <br />
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