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ARCHIVED REPORTS_XR0011825
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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F
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5491
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3500 - Local Oversight Program
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PR0545028
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ARCHIVED REPORTS_XR0011825
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Entry Properties
Last modified
12/6/2019 5:15:23 PM
Creation date
12/6/2019 4:34:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011825
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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CLS - ld is CHAIN OF CUSTODY CLS ID No.• � <br /> <:: <br /> '-' �( <br /> LOG NO.10754 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME ANO A <br /> —'AXSe <br /> V_r `_vol <br /> 1 4"164 <br /> DESTINATION LABORATORY <br /> CLS (916) 638-7301 <br /> PROJECT M RHONE# 3249 FITZGERALD RD. m <br /> RANCHO CORDOVA,CA. (n COMPOSITE: <br /> PROJECT NAME � � u�r 95742 � 0 <br /> �,E <br /> SAMPLED ❑ OTHER a ��.1 <br /> JOB DESCRIP 0 <br /> C <br /> m <br /> (/) TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> slrE LocATio <br /> SAMPLE CONTAINER p a o o <br /> DATE TIME IDENTIFICATION MATRIX NO. TYPE <br /> �I t1m WA-©220-14opu e v 3 <br /> o <br /> INVOICE TO; <br /> P.O.# <br /> ' OUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES; (1)HCL )=CO <br /> (2)HNO3 <br /> REL QUISHED BY(SIGN) PRINT NAME/CO PANY DATE 1 TIME RECEIVED BY(SIGN) PRINT NAME 1 COMPANY <br /> cn Zt -ati imn tCf Q. <br /> =ECT LAB B : DATE/TIME: /'` CONDITIONS!COMMENTS: <br /> SH P B ; FED X UPS OTHER WlttClAIR BILL# <br />
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