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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WATERLOO
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6732
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2300 - Underground Storage Tank Program
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PR0231830
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COMPLIANCE INFO
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Entry Properties
Last modified
7/6/2020 4:38:43 PM
Creation date
11/8/2018 9:59:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0231830
PE
2361
FACILITY_ID
FA0004030
FACILITY_NAME
THREE PALMS GROCERY
STREET_NUMBER
6732
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10110001
CURRENT_STATUS
02
SITE_LOCATION
6732 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\W\WATERLOO\6732\PR0231830\COMPLIANCE INFO.PDF
Tags
EHD - Public
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ATC ASSOCIATES, INC. <br /> CHAIN OF CUSTODY <br /> Project Information: Report To: Samples Submitted To: <br /> Project No: ,y Consultant: ATC Associates Inc. Laboratory: Argon Labe <br /> Project Titla: T � <br /> tAC-V, "\w'S Address: 1117 Lone Palm Avenue,Suite B Address: 3037 50,Street <br /> Location: [L�� -odamsto�C�foie 95351 Ceros,CA 95307 <br /> S{pfi Contact: Wrv�j-+�^�l Contact: <br /> Samplers Name: C ta'i 0.,P- A Phone: (209)579-2221 Phone: (208)581-9290 <br /> (print) ,�•..J fY Fax: (208)579-2225 Fax: (209)581-9282 <br /> Samplers Signature: Bill To: Date Results Required: <br /> Client: Same Date Report Required: <br /> Address: <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> (5 Day) (10 Day) <br /> a o t1 0 w m N <br /> to 0 4LL J <br /> O = to m <br /> d a r esus B <br /> 12 <br /> COMMENTS <br /> Sample ID. Data Time 0Cornom"n Matrix Preservative <br /> �t (SOL C2� L SO '� C � la>Y�►- <br /> klj& lZl� l Svc X x MX3is1 �' <br /> Relinquished By Data: Time: Rec By: Date: Tim.: SPECIAL INSTRUCTIONS: <br /> Relinquished By: Data: Time: Recelved By: Date: Time: <br /> Relinquished By: Date: Tlma: Received By: Date: Time: <br />
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