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ARCHIVED REPORTS_XR0011864
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_XR0011864
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Entry Properties
Last modified
12/6/2019 5:35:09 PM
Creation date
12/6/2019 4:48:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011864
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 - L iSCHAIN OF CUSTODY CLS ID No.; i�ro3�7 LOG NO. <br /> 6 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AND DDRESS D 2.00 <br /> 33 L Pr,ev-vrJ s, 'b�r I p L) DESTINATION LABORATORY <br /> `r DatcK 5S b 2$ CLS (916) 638-7301 ' <br /> 3249 FITZGERALD RD. COMPOSITE: <br /> PROJECT MANAGER PHONE* m <br /> RANCHO CORDOVA,CA. to <br /> PROJECT NAME 95742 M <br /> VVAm �07S p <br /> SAMPLED BY � ❑ OTHER C c� J� <br /> JOB DESCRIPTION kZ <br /> m 0 TURNAROUND TIME SPECIAL INSTRUCTIONS <br /> {n <br /> SITE LOCATION - <br /> F"' <br /> DATE TIME6c� cz SAMPLE CONTAINER ¢ CQ T o N <br /> IDENTIFICATION MATRIX NO. TYPE <br /> 30 1ioo do 4o w 611 WQ-6,(- vq I� x x X, m 1 <br /> Iqy MW-� X x x x x x <br /> RECEIVED <br /> f <br /> MAY <br /> = <br /> 1�3� mc�1- S <br /> Z Zai - <br /> ZZ45 waw-$ <br /> 1bj INVOICE TO: <br /> �� raw- <br /> -7,03'a e-1 --v-10 <br /> `1 5)s ,-xw-11 <br /> I sI W If <br /> QUOTE# <br /> s <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3)=COLD <br /> (2)HNO 3 (4) <br /> LIN DISH B (SIGN) PRINT NAME I COMPANY DATE 1 TIME R CEIV BY(SI ) PRINT NAME/COMPANY <br /> P1 a� <br /> REBY: DATE 1 TiM DITIONS 1 COMMENTS: <br /> SHI FED X UPS ❑ OTHER AIR BILL# <br />
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