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ARCHIVED REPORTS_XR0011777
Environmental Health - Public
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EHD Program Facility Records by Street Name
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5491
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3500 - Local Oversight Program
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PR0545028
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ARCHIVED REPORTS_XR0011777
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Entry Properties
Last modified
12/6/2019 5:06:23 PM
Creation date
12/6/2019 3:33:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011777
RECORD_ID
PR0545028
PE
3528
FACILITY_ID
FA0003919
FACILITY_NAME
VAN DE POL ENTERPRISES
STREET_NUMBER
5491
STREET_NAME
F
STREET_TYPE
ST
City
BANTA
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
5491 F ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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SPARGE , ECHNOL0GY, INC. CHAIN OF CUSTODY RECORD <br /> Analytical Laboratory Phone: (916)362-8947 <br /> 3050 Fite Circle, #112 Sacramento, CA 95827 FAX: (916)362-0947 <br /> Company: APEX ENVIROTECH, INC . Phone:(916) 535-0200 <br /> Project Manager: JEFFREY .ROTHGERY FAX:(916 ) 535-0207 STAL Invoice Number: .•• <br /> Report Address: Billing Name&Address: <br /> 7844 Madison Avenue , Ste 106 <br /> Fair Oaks , CA 95628 ANALYSIS REQUEST <br /> Project Name: Project/Job#: REMARKS: WET(STLC) <br /> /110C'LQ Pe f"'l P v M t`—/"'4 O Z �Oa <br /> Project Location: 5;Ltq ( F 51- P.O.#: TCLP <br /> ljC{n cl C - ew O-2 t 00 <br /> 1 FF <br /> Preservative TCLP Total <br /> Sampling Container used Matrix TAT <br /> t <br /> N N <br /> O o0 <br /> N O <br /> !n CLr) _ N <br /> _ O •- <br /> O O N_ 07 2 <br /> bfi w m d m d <br /> O _ <br /> N O = O o a <br /> N In <br /> N <br /> Iii r7 O O U N <br /> !Q N O N N U N N Cr U N K <br /> S4 O O O CL fl N N I, U n <br /> o o tD E m ., to m c (9 � _ _ c <br /> = O O O O Q O c to m O <br /> w O to N co CO v r, °� o v <br /> 1. N N ° <br /> a0 N S ` N` 00 0= W c= 07 0 � � C o i <br /> o O H O O 1d y N co co '7 In — (` p <br /> J to E Z :: t (D (OD to tD (D to O t1 C V N <br /> to tp t.-1 2 O o X X 'D to 'C C L <br /> E e c t — t w w = Q Q Q 4 4 Q °: c a O O H <br /> SAMPLE ID Date Time J v ° ° cn m ° D- D- a. a a. to - ° I a 4 0 ' : <br /> m O = Z O 3 rn Q O m m i- w w w w w w F- Z O � U U ..-� N m = <br /> (24-71 l3-3� <br /> ua 1 <br /> (lelinquishe b Received by: � Relinquished by: Received by: <br /> ��tc: /Z-/7c16 \ IT i m e: Date: / f�5 Time: /� Date: Time: Date: Time: <br />
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