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ARCHIVED REPORTS_SITE STATUS REPORT 2018 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 2018 3RD QUARTER
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Last modified
2/5/2020 3:53:49 PM
Creation date
2/5/2020 12:35:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
SITE STATUS REPORT 2018 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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❑ ❑ ❑ ❑ L e <br /> 0 <br /> TestAmerica San Francisco Test merica <br /> 1220 Quarry I-ane <br /> .. Chain of Custody Record <br /> Pleasanton,CA 94566 noex w t Nvtii tvmt t i t ,€€ t, <br /> M6 3 eD`5 <br /> phone 125 484 1419 fa4 925 b00 3002 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager: Binayak Acbarya Site Contact:\IarkCzipka Date: 1 V COC No <br /> EGM Consultants Tel/Fax: (661)255-1693 Lab Contact:Dimple Sharma Sampler: a' s, ( of COCl <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time i:r Job No <br /> Costa Mesa,CA 92626 Calendar(C j or Wurk Days(W) C <br /> (714)882-2758 1'hOtie TAT,Fdtffaronl from below <br /> (714)662-2758 FAX © ?weeks SDG No <br /> Project Name. Nestle 1:3 1 week <br /> _Site Ripon,CA 2 days N <br /> PO# 0 Iday e <br /> O <br /> Sample it nr i <br /> Sam le Identification Sample Date Time fres. Matrix tont. Sample Specific Notes <br /> TB- �toHV� k�l OCi.�,O HCl 1120 2 X <br /> 7501: KIERNAN 2008 EFF 10- p HCl 1120 3 X <br /> 7501 KIERNAN 2008 MID HCI H2O 3 X t> <br /> 7501 KIERNAN 2008 INFHCl H2O 3 X <br /> r` <br /> CN <br /> N <br /> C� <br /> 5725 HALL,2009 EFF I���� C�1: HCI H2O 3 X � <br /> 5725 HALL 2009 MID HCI H2O 3 X <br /> 5725 HALL 2009 INF Lu C'G HCI H2O 3 X <br /> 720-88383 Chan of Custody <br /> 1051 Robert HCI H2O 3 X <br /> Preservation Lased: 1=Ice, 2=HCI; 3=H2SO4; 4=tiNO3; 5=Na0H;6=other_ <br /> Possible 77arard 7de,,dfrcuflon Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> ® Nun-fiziaird © 1-humnvhle Skin lrritanl I'm+nn RO I inknon n � �Retum To Client =Disposal By Lab Archive Faf Months <br /> Special Instructions/QC Requirements&Cumments: NO GEOTRACKFR (� <br /> 7 'S¢ <br /> Relinquished by Company Datetftmq Received by Company Test America Date/Time <br /> CCM Consultants <br /> Relinquishcd by Company DaWTurie Received by Company Daterritnc <br /> Relinquished by Company Date/Time Received by Company Date(Tine <br />
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