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ARCHIVED REPORTS_XR0005447
Environmental Health - Public
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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19256
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2900 - Site Mitigation Program
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PR0540323
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ARCHIVED REPORTS_XR0005447
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Entry Properties
Last modified
11/19/2024 1:50:27 PM
Creation date
4/8/2020 2:36:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005447
RECORD_ID
PR0540323
PE
2950
FACILITY_ID
FA0023049
FACILITY_NAME
TELFER HIGHWAY TECHNOLOGIES
STREET_NUMBER
19256
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
CURRENT_STATUS
01
SITE_LOCATION
19256 N HWY 99
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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%21=.f IIJEJJ�I MMI I 9JJJr%L.M u AM w00ane lnutWk, CW98W, ) 94400 00(92:43 °]6P <br /> 1406►IN OF CUSTODY U 1455 McDowell o r1h, Suite D - Petaluma, CA 94954 • (707) 792 1865 FAX (/0I) r),.2U 1551 Industrial Roa • San Carlos CA 94070 • (650) 232 9600 FAX (b50) 232-9612 <br /> CompanyName 1 K-–.f 7 Project Name <br /> � � V <br /> Mailing Address Z 3 gmid(� CJ <br /> — Billing Address (if different) l <br /> City L.. b.. State CA- Zip Code S Z y'r- -- —---- -- -- - <br /> Telephone Zo'S - 3( 7 FAX # 2W5 _ y .(, 'le Z— PO # <br /> Report To D�9�-' S' <-^� Sampler QC Data U Level D (Standard) U Level C U Level B U Level A v <br /> Y <br /> Turnaround pd,10 Working Days U 3 Working Days U 2 - 8 Hours U Drinking Water Analyses Requested <br /> Time U 7 Working Days Ll2 Working Days U Waste Water fl t �1r. <br /> U 5 Working Days ❑24 Hours )6,Other <br /> Client Date/Time Matrix # of Cont Sequoia's 0� Comments > t <br /> Sample I D Sampled Desc Cont Type Sample # Q <br /> k / ! <br /> 3_ t= _ 3J - -- 013 4157 / <br /> � I <br /> 5 097-0 <br /> 09 3r <br /> 6 C- <br /> /d/ '/ l—� -- - <br /> 7 C.. ] I - " V� <br /> /03 v ' / C <br /> 9 Vs <br /> ----_ — —---- -- — - -- -- -- - -- - - - -E <br /> 10-- <br /> I idIIIIJIiUw'd <br /> y � . Dale Time Received B - <br /> - -- - --- — - - - - - - y -- --- () ale <br /> Iic liri(I,ushud By Date Tnne Received By Date ri„ie <br /> 1i( luulu,slied by Dale Time Received By Date line <br /> li( I uivud in Good Condition? J Yes U NO salsFhles Uh k o) J Yeb J No Method of shipinenl 1',u3i ul <br />
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