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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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1-1 1-1 1111 e <br /> TestAlllerica Sala Francisco <br /> 1220 Quarry Lane Testa menca CD <br /> � CD <br /> CN <br /> Chain of Custody Record � �P�� �M:� �:� <br /> �}.�;,r fl[s[-�E1k'EA3 1f:U4i'3_/}-:.0 3rS11f21:,' — <br /> Pleasanton,CA 94566 N <br /> phone 925 484 1919 fax 925.600 3002 � TestAmeriea Laboratories,Inc. � <br /> 1 Client Contact Project Manager: BinayakAcharya Site Contact:Chris McCormack Date: }i COC No <br /> Environmental Cost Management Inc.(ECM) Tel/Fax.- (661)255-1693 Lab Contact:Dimple Sharma Carrier: EC.M _ ofd 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 /> (714)662-2759 Phone TAT Wd,f¥' tfrom Below <br /> (714)662-2758 FAX ® 2 weeks SpG No <br /> Project Name-Nestle © 1 week <br /> Site: Ripon,CA 2 days <br /> AO# © Iday <br /> VF W <br /> Sample a of <br /> Sample Identification M Sample Date Time fres. Matrix Com. � � Sample Specific Notes <br /> - v—— <br /> MW-3-L'J f i .. 11/14/13 PW1 H2O 3 x <br /> MW-3 41 11/14/13 j 1 H2O 3 X <br /> �} IVIW-3- E�� 11/14/13 1 I120 3 X oM <br /> MW-3- 11/14/13 ij;. 1 H2O 3 X o <br /> 00 <br /> _ M-W-3- IL 11/14113 rG_ 1 H2O 3 X N <br /> 11/14/13 1 H2O 3 X co <br /> -M- W-3- 13/14/13 1 H2O 3 X <br /> 11/14/13 H2O 3 X <br /> f® —__ _. c1)- I►` 1` ` <br /> Preservation Used: 1-1cc, 2=HCI; 3=112SO4; 4=HNO3; 5—r4'a0H;6--Other <br /> Possible Hazard Pdeuhfrcallon Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> © Nan Ha arl Alammuble _F___I skm lrrdanl Paso�p B© lJi�k,10 vat © ©F2eturn To Client ®Disposal By Lab Archive por Tvlanths <br /> -- <br /> Special lnstructionsfQC Requirements&Comments: REPORT DATA IN EDF FORMAT GLOBAL 1D SL205012989 <br /> Relinquished try Company-rnvironmemal Daterrtme: Received by; Company Test America 1)tea <br /> Cost Management.Inc /111�(//T17700 <br /> Reluiguished by: Company Daterl'nne Receive by Compan Date-qune <br /> 14 all <br /> Relinquished by Company Dateri'nne Received by- Company Datefrime <br />
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