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ARCHIVED REPORTS_SITE STATUS REPORT 2018 2ND 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 2018 2ND QUARTER
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Entry Properties
Last modified
2/5/2020 3:33:00 PM
Creation date
2/5/2020 11:59:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
SITE STATUS REPORT 2018 2ND 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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❑ ❑ ❑ ❑ E U <br /> � 2- 00 <br /> 0 <br /> TestAmerica San Francisco Testmerlet.i N <br /> 1220 Quarry Lane <br /> Ougm"Wk CRZ Wo Chain of Custody Record <br /> Pleaaanion,CA 945h6 4W1��r LE Ali'1aiN[wviFdvNFntr.=q, <br /> phone 925 184 1919 fas 925 600 3902 TestAmerica Laboratorie Inc. <br /> Client Contact Project Manager: Binayah Acharys Site Contact:Mark Czipka Date: t)— COC No <br /> ECM Consultants Tel/ ax; (661)25'-1693 Lah Contact,Dimple Sharma Sampler; 0r( It 2 <br /> 3525 Hyland Ave Suite 260 Analysis Turnaround Time Job No <br /> Costa Mesa,CA 82626 Calendar(C)or Work Das(W) C <br /> (714)662-2759 Picone TA I ddrfY r-t fr..B&— <br /> m <br /> (714)662-2756 FAX © 2 weeks $ 5DG No <br /> Project Name Nestle I week r <br /> Site Ripon,CA 2m <br /> days <br /> N <br /> PQ# Iday <br /> w w <br /> Sample a or D O <br /> Sample identification Sample date Time Pres. Matrix Cant- =Iy Sample Specific Notes <br /> 110 Manley `4t1� Itri Cl� 1,2 1.120 3 Y <br /> 361 Parallel ) 1,2 H2O 3 <br /> 1,2 H2O )rz k <br /> 7971 Kiernan r 1,2 H2O 3 \ M <br /> 7961 Kiernan 1,2 H2O 3 \ O <br /> 0 <br /> 1051 Robert 1,2 H2O 3 <br /> 5724 Balt �l 1,2 H2O 3 Xccs <br /> 720-85892 Chain of Custody <br /> Preservation Used: 1=ice, 2=HCI; 3=H2SO4; 4--HNO3; %--NaOH,6=Other <br /> Possible Hazard Identification Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> ® Nem-Mcwrd F7wnrn rhie ,Skin Irritum 1'm„fm H t nk-mm'n 0 ©Return To Client ®DFsposal By Lab =Archive For Months <br /> Special Instructions/QC Requirements&Comments: NO GEOTRACKER <br /> Relinquished by Company Date?me RCompany Test America Dat s l r <br /> ECM Consultants , ecetve j0 ,� <br /> Relinquished by Company Datefrtme Received by Company Datefrtme. <br /> Relinquished b). Company Date-'rime Received h} Company Datefrime <br />
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