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ARCHIVED REPORTS_XR0009731
Environmental Health - Public
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EHD Program Facility Records by Street Name
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S
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SECOND
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106
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3500 - Local Oversight Program
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PR0545680
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ARCHIVED REPORTS_XR0009731
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Entry Properties
Last modified
5/20/2020 2:56:08 PM
Creation date
5/20/2020 2:34:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009731
RECORD_ID
PR0545680
PE
3528
FACILITY_ID
FA0005535
FACILITY_NAME
THIEMANS SERVICE
STREET_NUMBER
106
STREET_NAME
SECOND
STREET_TYPE
ST
City
RIPON
Zip
95366
CURRENT_STATUS
02
SITE_LOCATION
106 SECOND ST
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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LSauers
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EHD - Public
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EQUOIA ANALYTICAL W1580 Choake Drive-, Redwood City, CA 94063- (650) 364-9600 FAX (65104-9233 <br /> El 819 Striker Ave , Suite 8- Sacramento, CA 95834- (916) 921-9600 FAX (916) i-0100 } <br /> CHAIN OF CUSTODY ❑404 N Wiget Lane - Walnut Creek, CA 94598 - (510) 988-9600 FAX (510) 988-9673 = <br /> Company Name AT -C ; �� Project Name!�� �' G2(OS <br /> Address J2f00 rq .G Billing Address (if different) <br /> City M s State C-Al Zip Code 85351 <br /> Telephone FAX # �q_57�-ZZ-Z, PO # <br /> -5? - ZZ <br /> Report To.�ec,.v,ner Sampler A�t4 OC Data aLevel D (Standard) ❑ Level C ❑ e4-B a_LeveL v <br /> Turnaround 1540'Working Days ❑3 Working Days ❑2-8 Hours ❑ Drinking Water '7 Analyses Reques ��O�l44 a <br /> Time ❑ 7 Working Days ❑2 Working Days Waste Water <br /> ❑ 5 Working Days ❑24 Hours <br /> Client Date/Time Matrix # of Cont Sequoia'sComments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> e I ox y ger a <br /> �I a "tom. I ✓ M r <br /> 1 - 2 0 08 1055 vii 5 <br /> TA yA cro <br /> 2 N�vS^ l l I5 ��, ✓ , <br /> 3 N1�_ �} �fl�5 �i ✓ ✓ o <br /> 4 MVJ 5 r�35 ✓ ✓ <br /> 5 M w C f IS ` V <br /> 6 M vel- <br /> 7 7 <br /> 6 <br /> 8 <br /> W <br /> m <br /> 9 <br /> I � <br /> 10 FT- i i i <br /> Relinquished By Akt,4, Date 07o$p S' Time Received By Date Time <br /> Relinquished By Date Time Received By, Date Time ,'!r <br /> Relinquished By Date Time Received By Lab '�� Date Time !4 3d <br /> Were Samples Received in Good Condition? 0 Yes 0 No Samples on Ice? W<s 0 No Method of Shipment Page-L of <br />
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