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REP46184
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REP46184
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Entry Properties
Last modified
8/25/2016 12:49:14 AM
Creation date
11/27/2007 10:50:12 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1986104
IBM Index Class Name
Report
Doc Name
ENVIRONMENTAL SITE INVESTIGATION
Media Type
D
Archive
No
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~ ~ ~ r ~ ~ I~.Y'~L I~UE~CI~-o1~S7'~' F~ <br />Pacific Agricultural laboratory <br />12505 N W. Cornell Road ; <br />PoAland, Oregon 97229 <br />Phone (503) 626.7943 Fax (503)641-0644 <br />~~Y <br />Customer <br />Telephone <br />Fax No: X303) 6 2 3 33 8S <br />~ l~ [~' <br />Page ~ of t <br />Address: 16 yS Cou2 r ~c/{ ~ su, rF roo - a <br />aty, state, T.ff': .~ as N v E R C O 8 0 2 o Z <br />Method of Shipment: <br /> Requested Analysis <br /> <br />v <br />i <br />o <br />~ Requested Turnaround Time <br />suatta<a trio wortiaa ~Ys) <br /> <br />[] <br />Rush <br />please speciry <br /> <br />-AL LD. aiea yt~e <br />IAeatifiafim Date rime Sample <br />Takea Tatee type Oootamer <br />Type No. of <br />Coetainets <br />~ Oomtrctua <br />p}~10~.'+R $/J- tJr6QAylfur WA7Et ~ lrlai ~ ~ E+cOHAC/L by He1LoQ y63L <br />`tut-S• t~w_.3>OWNGQADt(r. WATER ~ llr Z '~ <br />- ,~,5~ ~tJ- ~,E[t WATEa l ~;r~ z K <br /> <br /> <br /> <br /> <br /> <br /> <br />- ~ Time <br />`, rDate Ttas <br />Reli>rpie6ed8: I '~ I y~ 1'~S~M RmrivadBy: ~ ~1~1ti Qb~ <br />tSiprJUte) ~ ~ t5irmvte) <br />aebrpiitLeA Hy-. aeaied lty. . <br />(sis~) <Sijaaarte) <br />~~ ay; aemived Br . <br />tsu~t tSijaamte) <br />
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