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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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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_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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CLS - ]SCHAIN OF CUSTODY CLS ID No.' CwgpziZ 244 <br /> LOG N O. <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AN DORESS cg, ©O <br /> DE ATION LABORATORY <br /> �1 V` CLS (916) 638-7301 <br /> 3249 FITZGERALD RD. mCOMPOSITE: <br /> PROJECT ANAL R PHONE# RANCHO CORDOVA,CA. (1) <br /> aN c _ <br /> PROJECT N ' 95742 m <br /> SAMPLED �U' C <br /> ❑ OTHER D <br /> JOB DESCRIPTION <br /> mu <br /> (n =iz - TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LO N <br /> DATETIME SAMPLE CONTAINER �1 ••vJ T o p 'd p . <br /> IDENTIFICAION MATRIX NO. TYPE <br /> aa(d- oV5-Ap—, AR 0 3VMS <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS - - SAMPLE RETENTION TIME - P SERVA VES: (1)HCL - - (3)=COLD <br /> (2)HNO 3 (0.) <br /> L QUl ED 8Y(SIGN) PRINT NAME/C MPANY T /TIME Rj C VE Y 014N) PRINT NAME/COMPA Y <br /> � N <br /> REC'D AT LAB BY: _.DATE!TIME: O aCONDITIONS 1 COMMENTS: <br /> zuo3 r <br /> SHIPPED BY: . FED X UPS leKOTHER AIR BILL# <br />
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