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ARCHIVED REPORTS XR0009904
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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ELEVENTH
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152
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3500 - Local Oversight Program
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PR0544359
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ARCHIVED REPORTS XR0009904
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Entry Properties
Last modified
11/19/2024 10:19:01 AM
Creation date
4/17/2019 3:25:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009904
RECORD_ID
PR0544359
PE
3528
FACILITY_ID
FA0007196
FACILITY_NAME
RUSSELLS FLOWER PAVILION
STREET_NUMBER
152
Direction
E
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23517305
CURRENT_STATUS
02
SITE_LOCATION
152 E ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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WNg
Tags
EHD - Public
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I ir iwiiii <br /> THERN JOAQUIN COMPANY Inc. <br /> ❑ 8617 Etcheverry Drive, Tracy, CA 95376 CHAIN OF CUSTODY <br /> Voice (209)-832-2910 Fax. (209)-832-2910 sURN $ 9502231 <br /> t UfNI SANJOAQ REQUEST FOR ANALYSIS <br /> *1400 Solano Ave No 12 , Albany CA 94706 DUE 02/2"/'5 <br /> Voice (510)-527-5515 Fax (510)-527-2916 REF 0 2 0560 RECORD <br /> Project12i- Sly Laboratory <br /> Project No I . c5 < Carrier �+�-� —SA-,1 1-3 e a2 PA <br /> Sampling Team �4 Waybill No -- <br /> SanapM Na'< Type N ina �� Date Sampled Time Sampled Y Au*x a ReIlueeted Lab.No. <br /> 1a4� 3 W oss rpt itis A.h�� O 2 7 5r 4, G � <br /> KAU <br /> i <br /> Sample Hazards La a t? ,es Priority Routine Expedited ❑ Special ❑ <br /> Notes <br /> CUSTODY RECORD Print Name Company Date Received Pune Received Date Rehn tushed Tune Rehn tushed Ski �tore <br /> C►nguuator r•7 <br /> Received/Relinquished by <br /> Received/Rehnqueshed by <br /> Received/Rehnquushed by <br /> Received at Laboratory by n,.aa N yacl�nfa el+.�ma�Q� 2/,��q5 16'.4(0 `► ''"� <br />
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