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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545613
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
4/27/2020 3:41:24 PM
Creation date
4/27/2020 3:32:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545613
PE
3528
FACILITY_ID
FA0005466
FACILITY_NAME
LOPEZ, PAM
STREET_NUMBER
26500
STREET_NAME
NOWELL
STREET_TYPE
RD
City
THORNTON
Zip
95686
CURRENT_STATUS
02
SITE_LOCATION
26500 NOWELL RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SEQUOIA ANALYTICAL ❑ 680 Chesapeake Drive• Redwood City, CA 94063• (415) 364-9600 FAX(415) 364-9233 <br /> INUFCHAIN OF CUSTODY ❑ 819 Striker Ave., Suite 8• Sacramento, CA 95634 • (916) 921-9600 FAX (916) 921-0100 <br /> ❑ 404 N. Wiget Lane • Walnut Creek, CA 94598 • (510) 988-9600 FAX (514) 988-9673 <br /> Company Name: 1!57W �5 R Project Name: AnA� 71 p <br /> ReREATY <br /> Address: !p 3,;Z y r- 16Ae Billing Address(if different): <br /> City: Slate: Zip Code: S' <br /> Telephone-_ C?/(.S 7.160 FAX #: 9i ) 36a Bldo P.O.#: <br /> Re ort To: At_Artj KLC-1rJ --JSam lar: A e"11 QC Data: vel D standard ❑ Level C ❑ Level B ❑ Level A U <br /> Turnaround ❑ 10 Working Days ❑ 3 Working Days ❑ 2-8 Hours ❑ Drinking Water JAnalyses Re uested <br /> Time: ❑7 WorkingDas a- <br /> Y ❑ 2 Working Days Waste Water - <br /> X5 Working Days ❑ 24 Hours ❑ Othe :,, <br /> Client Dale/Time Matrix #of Cont. Sequoia's <br /> Sample I.D. Sampled Desc. Cont. Type Sample# d Comments <br /> I. V614Ax, Er <br /> &yrs �a asAq <br /> 2. <br /> 8. F . � <br /> t 4 GT <br /> 4. <br /> 5. :: r V .� <br /> X y <br /> ca <br /> 77 <br /> Ql <br /> ZI <br /> t <br /> Relinquished By: I-nix—I/- 11A� Dale: Jt� Tune,/ 3a Received B . Date: z� me:/�3U <br /> Relinqulslied B �,Q� Date: �kk Time:1760 Received By Date: me: <br /> Relin ulshed By: Date: Time: Received By I_ab Data: a me: <br /> Were Samples Received In Good Condillon? Yes t]No Samples on Ice? Yes 0 No Method of Shipmentof �e <br />
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