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ARCHIVED REPORTS XR0000778
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CAMBRIDGE
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16470
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3500 - Local Oversight Program
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PR0544155
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ARCHIVED REPORTS XR0000778
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Entry Properties
Last modified
2/15/2019 3:48:11 PM
Creation date
2/15/2019 2:21:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000778
RECORD_ID
PR0544155
PE
3526
FACILITY_ID
FA0000185
FACILITY_NAME
CITY GAS & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
02
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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WNg
Tags
EHD - Public
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❑885 Jarvis Drivel rgan Hill,CA 9SD37 - (409) 776.6600• FAX (408) 782-6308 <br /> N° 008493 gels StnkerAve., ulle 8•Sacramento, CA 95834 9 (916)921-9600•FAX(916)921-0100 _ <br /> ❑+404 N Wiget Lane•Walrh.rt Creek, CA 94598 a (925)988-9600- FAX(9255) 988-9673 <br /> TUSCO 031455 McDowell Blvd Moria,Suite D•Petaluma, CA 94054• (747) 792-1865- FAX(707) 792.4342 <br /> ❑ 1551 Industrial Road , San Carlos,CA 94070 - (660) 232.96QD- FAX(650)232-9113112 <br /> Consultant Company. Sr.C��L "' ► :PR-C 7osf:o Er,glrreer: iAs'-o <br /> Address r[. f . S�+r1 ' JO J 3�te#: 'ta$' Cy:X.41t �b4�G`]'�O o�2 ►uta CD>`Pc t <br /> City, g e drVNn Stale. crr Zip Code: T 7b Site Address f 6too C�+►��tir �f �rk� � <br /> Telephone: Fax#: C716) -a6l— c!.43o City,State LATg"p CJS <br /> ReRort To' jZ%_%c_pj Apt*_*JY&4%jxj Sampler � 4g Q,.,�,�, QC Dais OLevel D(Standard) p Level C u level B ❑Level A <br /> G <br /> Turnaround )(10 Work Days p 5 Work Oat's ❑ 3 Work hays til Onnk+ng Water Analyses Requested fi <br /> Time: ❑ 2 Work Days ❑ 1 Work Day p 2-6 Hours t] Wasto Water Q <br /> j Gthar ' <br /> Project Coding- - _5a1 L_ <br /> Client <br /> MatrixnSequoia's 0. CommentsSample iD. Sampled c Cont.Cara. Type pfe# <br /> 01?b SCI ( _ s�� <br /> S 0 y C —,"tow, <br /> P" "1 bJ (u pc3 r� PIC r$WL r <br /> 2 rr e <br /> _ — t7 _ ^OibL ro <br /> d. "'����� Jam • _ _ c <br /> Him, o <br /> XT- <br /> 7 �34- <br /> 8 <br /> 9 - - - <br /> F4 <br /> 1Q <br /> Rolinquished By-'' Ikkv- Date:91206 Time / Received By Date 4-- -rte Time 0 <br /> Relinquished By. Date.6-,e Trne:/f.00 Received 6 _ Date. ! Timet <br /> fiehnqu1shed B . Date Time, L Received By Date Time. <br /> Wero Samples Received in Good Candditxn7 Yos p No Samples on Ices Yes p No Method of Slrlpment„ &CkOk Paga of <br /> To bo completed upon reccfpt of rcpod <br /> 1)Wate tho analyses requested on the Chain of Custody toportedn C Yes Q Ido If no.What analyser,are stlf rroeded? <br /> 91 WOs the report i3oued wilhin tho requested tumaround lime? Q Yes Q foto I1 no,what was fire tumaround t,ma? <br /> Approved by, S� natttte _-- Company _� Date. <br />
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