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ARCHIVED REPORTS_XR0011863
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_XR0011863
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Entry Properties
Last modified
12/6/2019 5:37:01 PM
Creation date
12/6/2019 4:47:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011863
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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ALIFO A LABORATORY SERVICES CHAZ , CUSTODY FV 4 CLS ID. NO. <br /> y <br /> Report To: Client Job Number ANALYSIS REQUESTED FIELD CONDITIONS: <br /> Name: Apex Envirotech, Inc. No: ERA02.004 T T T T B 5 <br /> P P P P T o <br /> Street Destination Laboratory H H H H E x <br /> Address: 1124 Pyrites Way <br /> City,State; g d m k X y <br /> and Zip: Gold River, CA 95670 X CLS (916) 638-7301 8 O e 9 <br /> Project <br /> N me: Moore Petroleum 3249 Fitzgerald Road Cn g 0 g e <br /> Project Rancho Cordova, m 0 1 0 o 0 n COMPOSITE: <br /> Manager: SR CA 95742 1 5 1 S 2 a <br /> Contact Contact ;2! 5 5 e 0 t <br /> Phone: ( 916)851- 174Fax: 1_(916)851-0177 ❑ pTHER M n e <br /> Sampled <br /> By: e Sg <br /> Job <br /> Description: 3"d QMR water 0 8 <br /> Site 1 2 TURNAROUND SPECIAL <br /> Location: 5491 F street,Banta 5 6 TIME IN DAYS INSTRUCTIONS <br /> SAMPLE CONTAINER *DL for MTBE <br /> DATE ; TIME TYPE 0 1T25 10 <br /> IDENTIFICATION MATRIX NO. 1.0 ppb for <br /> d [S a"s�4lc e nqx Domestic <br /> �{� 2 wAx- <br /> ell <br /> — INVOICE TO: <br /> ODE- <br /> `-'c <br /> /�11 rr <br /> O <br /> `C 30 <br /> — 10 PO# <br /> S� — QUOTEIi <br /> SUSPECTEDCONSTiTUENTS ARM TI PRES NATIVES (1)HCL (3) COLD <br /> (2)HNO3 (4) <br /> REL/ U[SHED BY(SIGN) PRINT NAME/ OMPANY DATE/TIME RE EIVED BY(SIGN) PRIN NA OMPANY <br /> d d <br /> 2-11 <br /> _ <br /> ZILIn 4o" <br /> RECEIV D AT LAB BY: DATE/TIME: a Z Ir v CO MEET ; <br /> BY:' 6� COMMENTS; <br /> SF-HIPPED BY: ❑ FED EX ❑ UPS ❑ OTHER AIR BILL 4 <br />
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