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ARCHIVED REPORTS_XR0011861
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_XR0011861
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Entry Properties
Last modified
12/6/2019 5:31:23 PM
Creation date
12/6/2019 4:46:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011861
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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SJGOV\wng
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EHD - Public
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' AL1FO 'IA LABORATORY SERVICES CHAI K CUSTOdu— CLS ID. NO. fic 1S3 . <br /> Report To: FIELD CONDITIONS: <br /> Client Job Number ANALYSIS REQUESTED <br /> Name: Apex EnviroteCh, Inc. No: ERA02.004 T T T T B 5 <br /> Street P P P P T o <br /> 11244 Pyrites Way Destination Laboratory H H H H E x <br /> Address: - <br /> city'State, g d In k X y <br /> and Zip: Gold River, CA 95670 X CLS (916) 638-7301 -0 8 O e 9 <br /> Project <br /> Name: Moore Petroleum 3249 Fitzgerald Road cels 8 0 8 r 8 e <br /> Project Rancho Cordova, m 0 1 0 O 0 n COMPOSITE: <br /> Manager: SR CA 95742 y 1 5 1 s 2 a <br /> Contact Contact z_= 5 5 e 0 t <br /> Phone: (916)851-9)(74 Fax: ( 916)551-0177 ❑ OTHER Cn n e <br /> Sampled <br /> B : e S <br /> Job L8 <br /> Description: 1st QMR wa er 0 g <br /> Site 1 2 TURNAROUND SPECIAL <br /> Location: 5491 F street, Banta 5 6 TIME IN DAYS INSTRUCTIO� <br /> DATE TIME 0 1 2 5 t0 � <br /> SAMPLE CONTAINER *DL for Mi1BE <br /> TYPE <br /> IDENTIFICATION MATRIX NO. 1.0 ppb for <br /> 0f L- <br /> X Domestic: Wim'' <br /> 13 � 1�—f well - ' <br /> } --� Alternate TD:: ` <br /> 2 S- _3 <br /> IS <br /> dV <br /> V� 1 <br /> IWO <br /> �O r <br /> II -� <br /> 0 <br /> t `a0 <br /> 5U ECTED ONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES (I)HCL (3)=CE?a I3 <br /> (2)HNO,/fflL4) <br /> INQ SHED (SIGN) PRINT NAME/COMPANY ATE/TIMEE ED BY{SIG PRINT NAME/CO PANY <br /> EIVED AT AB"By. DATE/TIME: CONDITIONS <br /> f COMMENTS: <br /> SHIPPED BY: �] FED EX ❑ UPS ❑ OTHER AIR BILL# <br />
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