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ARCHIVED REPORTS XR0004645
Environmental Health - Public
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3500 - Local Oversight Program
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PR0544559
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ARCHIVED REPORTS XR0004645
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Entry Properties
Last modified
6/13/2019 3:31:02 PM
Creation date
6/13/2019 3:21:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004645
RECORD_ID
PR0544559
PE
3528
FACILITY_ID
FA0009944
FACILITY_NAME
N&S IRRIGATION
STREET_NUMBER
215
Direction
W
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
25906072
CURRENT_STATUS
02
SITE_LOCATION
215 W MAIN ST
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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ATC ASSOCIATES, INC. <br /> CHAIN OF CUSTODY <br /> Project fnformatlon: Report To: Samples Submflled To: <br /> Project No: r 1 Q g C?Q�� Consultant: A1C Assocfales Inc. t_aboratury: ArgnnLebs <br /> Project Title: N ��.; p Address: 11 17 Lone Palm Aventre,Sulle B Address. 3037 51h Street <br /> l_ocativr: ``r- Modesto,Cal'tlornl5351 Ceres,CA 95347 <br /> ,216 W. l S , CA Contact: vKe. 901AAS-e/. Contact: Ni'rw*A <br /> Sampler's Name: r 4 �—^ IF Phvne: 209)579-2221 Phone: (209}581-9280 <br /> (print) to Fax: (209)579-2225 Fax: (299)581-9282 <br /> Sarrlphr'g Signature: BILI To: Date Results Required: <br /> Cllenl: Same Dale Report Required: <br /> Address: <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> (5 Day) 110 Day} m z <br /> R 1 e4 <br /> tip <br /> C V <br /> 4 <br /> v, g OD '-Z aff J <br /> X x 13 <br /> COMMENTS <br /> Semple rD. hate Time 1T Containers Matrix Preservalive <br /> PAv.1 Q 3a —ib--3o- -4--- <br /> b_ — —4--- aLAJ ✓ � C <br /> 2, 1 totem ✓ ✓ <br /> PAW-3 0W ✓ ✓ <br /> Vie Rrut It- <br /> Relinguls dBy:. Dale: Time: RecelvedBy: Daie: Tittle. SPECIAL INSTRUCTIONS:'sahyy/7' te p <br /> _� 16 I of (� :I mr� ,Mai <br /> Relinquished By: Date: Time: Received By: pale: Time: /'Jif �+D "41+ <br /> RcanqurshedBy: pale: Time: ReeelvedUV'. Uate: Time: <br />
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