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ARCHIVED REPORTS_XR0011778
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_XR0011778
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Entry Properties
Last modified
12/6/2019 5:09:23 PM
Creation date
12/6/2019 3:34:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011778
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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I SPAHGER( -CHNOLOGY, INC. CHAIN OF CUSTODY RECORD <br /> Analytical Laboratory Phone: (916)362-0947 <br /> 3050 Fite Circle, #112 Sacramento, CA 95027 FAX: (916)362-0947 <br /> Company: fJP,p-jC EJU✓1,e0 7F-C bC Phone:016).535-02-00 l y <br /> Project Manager: FAX: f1(,� -5,35—n2D-7 STAL Invoice Number: <br /> Report Address: Billing Name dr Address: <br /> -7Sy'I M/lb/5cr--� ,4Ve-- s x=10,G <br /> Pw/P- 0pK5 C956 z g ANALYSIS REQUEST <br /> Project Name: Project/Jol #: REMARKS: WET(STLC) <br /> -1 EF-G 6 IZAc5 Z �o o Cf 7[7r F <br /> Project Location: P.O. #: <br /> TCLP <br /> -::5 /? 10-2 BOG <br /> Preservative TCLP Total <br /> Sampling Container Used Matrix TAT <br /> .L <br /> � N <br /> O _ <br /> O C L <br /> N o O' N N <br /> O o N w Z <br /> o 'd H a C <br /> N -00 <br /> M O O N 5 N = t <br /> N - ioN <br /> Ln CL0 <br /> l` N O N N U 4 to U t 3 <br /> O d a N N O t Ntr <br /> o L O o to — to t`n c U ►� <br /> 04 00 <br /> co t- <br /> ow oo NsC7 Oo w00 <br /> pt t= !E` <br /> a ` <br /> Z O O N N> o w w m — o` -JJ DporO _p 4wo <br /> V) ` d XXvro — ILC <br /> o "o <br /> u <br /> v o <br /> m ...1 t 0 - L w W x a a a a a a m t <br /> SAMPLE ID Date Time m o" = z ot 3 tn° a o m ►CL- w w w w w w Fo- Z o a tai 0 3 1 1 io a z <br /> 160 c, .1G-� i p,z� <br /> Relinquished y Received by' Relinquished by: Received by: <br /> i< � Time:a. ' Date: fll6>1�6 Time: Date: Time: 1 Date: Time: <br />
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