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ARCHIVED REPORTS_SITE STATUS REPORT 2010 3RD QUARTER
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0009051
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ARCHIVED REPORTS_SITE STATUS REPORT 2010 3RD QUARTER
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Last modified
2/5/2020 6:21:44 PM
Creation date
2/4/2020 4:54:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
SITE STATUS REPORT 2010 3RD QUARTER
RECORD_ID
PR0009051
PE
2960
FACILITY_ID
FA0000649
FACILITY_NAME
FORMER NESTLE USA INC FACILITY
STREET_NUMBER
230
STREET_NAME
INDUSTRIAL
STREET_TYPE
DR
City
RIPON
Zip
95366
APN
25938001
CURRENT_STATUS
01
SITE_LOCATION
230 INDUSTRIAL DR
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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m <br /> � <br /> ~ <br /> - v <br /> ~ <br /> 7 <br /> � 7 <br /> 600 South Andreasen Drive Suite B vox 760.781.3338 CHAIN of CUSTODY <br /> zyma. Escondido,CA.92029 fax 760.781.3339 CLI);NT LUF� DW <br /> EDI ED EDU <br /> vox fax <br /> Report to:Dr.Yi Wang(Email:yi.wang@zymaxusa.com) I ANALYSIS REQUESTED Turnaround Time <br /> Company:ZymaX Forensics Client Project:Nestle Ripon ASAP 0 48hr <br /> Address:600 South Andreasen Drive,Suite B,Escondido,CA 92029 ZymaX Project#41922 0 <br /> Cal 24hr std <br /> CD <br /> cc <br /> SAMPLE DISCRIPTION Date Sampled Time Matrix Preserve UJ Remarks <br /> 41922-1 M-6A 8/2/2010 12:58 AQ HCUIce x <br /> 41922-2 M-6C1 8/2/2010 14:14 AQ HCUIce x <br /> 15:05 A <br /> 41922-4 M-49A 8/212010 16:38 AQ HCUIce x <br /> 41922-5 M-31CI 8/3/2010 8:08 AQ HCUlce x <br /> 41922-6 TH-10 8/3/2010 8:47 AQ HCUIce x , <br /> 41922-7 M-1 B 813/2010 9:27 AQ HCUlce x <br /> 41922-8 M-17C1 <br /> 8/3/2010 14:04 AQ HCUIce x <br /> , <br /> � 41922-9 M-1 OA 8/3/2010 14:46 AQ HCUIce x <br /> p~ 41922-10 EW-1 8/312010 17:25 AQ HCUIce X . <br /> — u41922-11 TB-08041 0 8/4/2010 11:00 AQ HCUIce x <br /> Comments: Signature Signature hq W <br /> Print 4 Print <br /> Bill 3rd party: Company Company <br /> Sample integrity upon reciept: Date Time Date Time ;(So <br /> Samples received intact Relinquishe by: Received by: <br /> Signature Signature <br /> Samples received cold 0) <br /> Print Print (0 <br /> - <br /> � <br /> PO# <br /> � NuU Quote IZZ11 Z3 CD <br /> o <br /> , 1 Correct container types I I Date 147 Time I Date Time ° <br /> � <br /> Email: ' / ' 'age—_---=-----_ ^u <br /> —` <br />
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