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ARCHIVED REPORTS_2013 ANNUAL REPORT
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_2013 ANNUAL REPORT
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Last modified
2/5/2020 10:16:11 PM
Creation date
2/5/2020 10:41:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2013 ANNUAL REPORT
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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156os� <br /> TestAmerica San Francisco stdmenca <br /> co <br /> co <br /> 1220 Quarry i,ane o <br /> Chain of Custody Record 'f'�U IN f'JVi www Wl I i_4rING <br /> Pleasanton.CA 94566 N <br /> phone 925.484J919 far-0256003002 TestAmerica Laboratories,Inc. <br /> Clier:t Contact Project LIauager: I3inayak R4 charya Site Contact:Chris McCormack Date: #( COC No <br /> i Environmental Cost Management Inc-,ECM) T&Faz: (661)255-1693 — Lab Contact:Dimple Sharma Carrier: ECM 1 of COCl <br /> 3525 Hyland Ave Suite 200 - -- Analysis Turnaround Time - - Job No <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W): C <br /> 1(714)662-2759 . .Phone TATddifferent from Delow <br /> F(7rl4)662-2758 FAX ® 2weeks SDG No <br /> oject Name: Nestle D 1 week <br /> Site- Ripon,CAN <br /> D 2 days <br /> P d# 1 day '3 < <br /> -—-_ _- -----�—.---------- - -- -- -— - - - - va <br /> Sample Apr O <br /> Sample IdentitEcat;on Sample Date Time Pres. Matrix Cont 1 Sample Specific Motes <br /> Y14-1114I3 11f14/13 .( HCl H2O 2 X <br /> -- MW-3- WH:j 11/14/13 I1'(06j HCi H2O 3 x <br /> MW-3- 11/14113 -j HCl H20 3 x <br /> WAI-3- t05- 11/14/13 (• HCl H2O 3 x A _ o <br /> MW-3- 1 111/14/13 HC1 H20 3 x n .�--� p <br /> �-- ----- -- .--. i <br /> MW-3- 1. <br /> 11/14/13 ' `- HCl 20 3 _ x o^ N <br /> 11/11I13 HCI H2O 3 x =' co <br /> T a_ <br /> M r 3'•,: - 11/14/13 : HCi H2O 3 l x Q <br /> MW-3- } � - 11/14/113 HCl H2O 3 x <br /> LLJL - <br /> rPreservation Used: 1=Ice, 2=HCl; 3=112504; 4=HNO3; 5=i'aOH;6=Other <br /> Possible Hazard Idewifrcatlon Sample nisposaf(A fee maybe assessed ifsamples are retained longer than f month) <br /> ® Non-Hazard © Flammable Skin f"Ifaw Poison R© Unknown =R turn 7•o Client ©Disposal By Lab Archive For Months <br /> Special In-tractions/QC Requirements&Comments: REPORT DATA IN EDF FORMAT GLOBAL ID SL205012989 <br /> C <br /> Relmqu-shat!by Company >nvtronmentai Date./Time. � — Recei ed by: Company TesE America DatefI imy. <br /> t <br /> Cost Management,Inc. Lob ' <br /> Relinquished by Company: Date(Tsme. Recery d by Camp y Date!Time <br /> Retinqurs to y Company DateRrme Received by Company Date7rme <br />
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