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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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OMAMLYMArnMR Stri ve 8 • acramen o, A 21- FA s 9 <br /> U 404 N Wigei Lar Valnut Creek, CA 94598 . 925 988-9600'FAX 925 988-9673 <br /> ( ) ( ) <br /> V/ CHAIN OF CUSTODY ❑ 1455 McDowell Blvd North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> U 1551 Industrial Road • San Carlos, CA 94070 - (650) 232-9600 FAX (650) 232-9612 <br /> Company Name r_ � Project Name �� 43; <br /> Mailing Address ? Billing Address (if different) <br /> City State Zip Code cZ S 2 L <br /> TelephoneFAX # <br /> zo 9 _ 9 - 04 k7— zas• 3GY-� PO # <br /> Report To xSampler "'"'y QC Data Level D (Standard) U Level C U Levet B U Level A U <br /> x <br /> Turnaround 1"0 Working Days ❑3 Working Days ❑2 - 8 Hours U Drinking Water I Analyses Requested � <br /> Time U 7 Working Days LI2 Working Days >dWaste Water +i <br /> U 5 Working Days ❑24 Hours X Other <br /> Client Date/Time Matrix # of Cont Sequoia's Z. Comments <br /> Sample I D Sampled Desc Cont Type Sample # 41 <br /> 1 D°C Z �p?164M <br /> 111th (oo S•� r t3ntt <br /> O <br /> 2 C --2- 1!r r Cr <br /> N <br /> {n <br /> 3 4-2- Zo <br /> 0 <br /> I } <br /> 4 G-2- 1 <br /> ?c_ 2. � <br /> s <br /> 7) <br /> LC-Z_-G_ ,�rrs {Hoer <br /> - ---— -- <br />� <br /> 10 <br /> v <br /> iiuliiiquisl►ed By - -- _^— Date IZ-+q+v Time �a16 - Received B <br /> Relinquished By Date Time Received By Date Time / <br /> Refinquished By Date Time Received By Date Time <br /> j Weie 5amplob Received in Goon Condition' U Yes U No Samples on Iro? U Yes 'J No MFihori of Shipment P snr i <br />
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