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ARCHIVED REPORTS_SITE STATUS REPORT 2011 THIRD 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 2011 THIRD QUARTER
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Last modified
2/5/2020 3:21:20 PM
Creation date
2/4/2020 4:58:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
SITE STATUS REPORT 2011 THIRD 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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F1 F-1 Ll Ll 010 <br /> .3 133� � <br /> TestAanei ea San Francisco Testes h o <br /> 1220 QnarryLane Cham of Custody record lr,E LEADER€N,ENV€RoureENrs,L riST€nc o <br /> N <br /> Pleasanton,CA 94566 \ <br /> phone 925.484.1939 fax 925.600.3002 Test-America Laboratories,Inc. o <br /> Client Contact Project Manager: Binayak Acbarya Site Contact:Cbrls McCormack Date: 9 !t COC No: <br /> Environmental Cost Management Inc.(ECM) Tel/Pax: (661)255.1693 Lab Contact:Dimple Sharma Carrier; ECM _�of COCl <br /> 3525 H land Rave Suite 200 Analysis Turnaround Time Job No, <br /> Costa Mesa,CA 92626 Calendar(C or Work Days.(W), C <br /> (744)662-2759 Phone rAT if di€femat Som Belmv <br /> (714)662-2758 FAX ® 2 weeks SDG No. <br /> Project Name: Nestle © I week <br /> Site- Ripon,CA © 2 days m <br /> PO# <br /> Sample o et <br /> Sample Identification Sample Date Time Pres. Matrix C— iii Sample Specific Notes: <br /> 7501 KIERNAN 2008 M® 1519 None H2O I X <br /> 7501 KIERNAN 2008 INT Q �(� �; None H2O 1 X <br /> 0 <br /> 0 <br /> a� <br /> 5725 HALL M � � t( ly_W None 1424 1 X <br /> ID � <br /> $725 HALL INF -)IL111 MN 3`( None H2O I X ti <br /> 802 VERA MID q101t W10 None H2O I X <br /> 802 VERA INF � � �� None H20 I X <br /> Preservation Used: 1=Ice, 2=HCl; 3=H2504; 4= IQ3; S=NaOH,6=Cniver <br /> Possible Hagarvd ltlendfwarian Sample Disposal(A fee maybe assessed ff samples are e-1 dned longer than 9 month) <br /> ED dor-Ha;ard E3 Rawwable © Skin Irritant POis41 Unkrtoup ©Return To Client Disposal By Lab ©Archive For Months <br /> SpecialInstructions/QC Requirements&Comments: Ni 0 GE OTRACKER <br /> rJ <br /> Relinquished by: Company:EnvirotnneuW DateIT' e: eceiced by- Company:Test America DatedTiime: <br /> OM G5 Cost Management,Inc. �t 311 I 1n 7 JJ -nL C 4 r�O) ( 67 <br /> Relinquished by Company: DaWrime° Recehed by: Company: DaWFime: <br /> Relinquisbed by: Company: DateJTime: Received by: Company: F3ataTdne: <br />
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