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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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�SpARGEAr ECHNOLOGY, INC. ( CHAIN OF CUSTODY RECORD <br /> Analytical Laboratory Phone: (916) 362-8947 <br /> 3050 Fite Circle,X112 Sacramento,CA 95827 FAX: (916)362-0947 <br /> Company: APEX ENVIROTECH, INC . Phone:(916 ) 5 35-0200 <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 X: REMARKS: WET (STLC) <br /> sore �tFr'ol��� �►2�4o�.00cf <br /> Project Location: N14-1) fi SOL P.O.rC: TCLP <br /> t5ac f cam- Z__ A ,?.too <br /> Preservative TCLP Total <br /> Sampling Container used Matrix TAT <br /> _ N <br /> O Ib <br /> O <br /> o <br /> N � <br /> c = L <br /> to to N a <br /> _ 0 _ N <br /> O O oo Z <br /> c2 m a y <br /> ro _ o 0 o v nr Co <br /> C4 ro O o u » Ln 3: r <br /> O oo N - in N In a v o, <br /> �4 N N 0O N nl U lt In — 4cc�. t 7 <br /> (b 0 p O a a N N O ` N Cr <br /> 0 0 0 E N In In c � U t` v <br /> 0 0 v co co a. - O ccoo . d r" « m m V <br /> Q > N O• O O O N N 0 0 <br /> 0 o t r:, N = t o0 c0 c`o 0`0 0`0 In o <br /> > p H O IL H N co co 't In — "� C <br /> JO E Z .. o O O O O N N ° ° _� o <br /> m s L — L W W x Q a a a a a c `° <br /> SAMPLE ID Date Time ,� " I_ ►- a n. a a a a n. o ° °' v a s m o <br /> [D O = Z O N Q O m [Q M W W W W W W I- .2 O tr U' U J y (L = <br /> LJ <br /> Relinquished Received by- r Relinquished by: Received by: <br /> --�7 <br /> Pate: 2- Time: (`j=� �j Date: J//3A';;f Time: , y 5 I Date: Time: Date: t, Time: <br />
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