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ARCHIVED REPORTS_XR0011828
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_XR0011828
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Entry Properties
Last modified
12/6/2019 5:16:33 PM
Creation date
12/6/2019 4:34:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011828
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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SPORT TO: "CLIENT JOB NUMBER FIELD CONDITIONS: <br /> NAMEANDADDRESS ,.' IALYSIS REQUESTED } ; <br /> r' TY r C r <br /> DESTINATION LABORATORY <br /> 'J`CLS (916) 638-7301yc- <br /> 3249 FITZGERALD RD. <br /> PROJECT MANAGEFyf � PHONE# m •e <br /> RANCHO CORDOVA,CA. U) �,=i COMPOSITE: <br /> cam. <br /> PROJECT NAME /. i �- 95742 Yty <br /> SAMPLED BY <br /> 0 OTHER <br /> JOB DESCRIPTION <br /> ' Rl <br /> U) . � TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION <br /> SAMPLE CONTAINER r <br /> DATE TIME IDENTIFICATI N MATRIX NO. TYPE \'' ) <br /> t <br /> • .a <br /> z <br /> INVOICE TO: <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3)=COLD <br /> {2)HNO y (4) <br /> ELIN0 $HED 13Y(SIGN) PRINT NAME/COMPANY DATE 1 TIME RECEIVED BY(SIGN) PRINT NAME 1 COMPANY <br /> RECD AT LAB Br-'--. "` DATE!TIME: CONDITIONS 1 COMMENTS: <br /> r <br /> SHIPPED BY: ,.. � FED'X".."��".: El UP5 OTHER AIR BILL# , <br />
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