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FIELD DOCUMENTS
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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757
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3500 - Local Oversight Program
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PR0544463
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Last modified
11/19/2024 10:19:48 AM
Creation date
5/16/2019 8:42:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544463
PE
3528
FACILITY_ID
FA0003214
FACILITY_NAME
EASTGATE BUSINESS PARK*
STREET_NUMBER
757
Direction
E
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95378
APN
25026001
CURRENT_STATUS
02
SITE_LOCATION
757 E ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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CHAIN OF CUSTODY RECORDvivs2z- <br /> ERM-Nest, Inc. ew <br /> 1777 Botelho Drive, Suite 260• Walnut Creek, CA• 94596• (510) 946-0455 • FAX (510) 946-9968 Page I of <br /> PRUIECT# JJ'' PRbJEGT NAME MATRIk REQUESTED PARAMETERS <br /> O-Z <br /> SAMPLER:(PRINT NAME) . (SIG*T URE) <br /> �a <br /> n4 AMY <br /> : . RECEIVING RATpRY., - , . � <br /> C <br /> SAMPLEJ,D. DATE' TIME O SAMPLING y} SAMPLJNG • �`�' <br /> METHOD <br /> y Ur VOLUME tiT� <br /> us Z-_v-4 3 k� e 'as *Ar,> �.�. I V <br /> U51 <br /> fz 1tun <br /> 0,r <br /> 0 <br /> R N I (SIG ATURE) DATE TIME RECEIVED BY DATE TIME FIELD REMARKS <br /> /¢ hpq :C rJLi> AL x5 <br /> IN I HED BY( ATURE) DATE TIME . . .. RECEIVED BY DATE TIME <br /> OOI.ER <br /> CUSTODYSEALSINTACTl7 WT INTACT <br /> RELINOUISHED.BY(SIGNATURE) DATE 'TIME RECEIVED Bl' _ . : DATE TIME ,pOLERTEMPERATObe <br /> I A /?Lit '?42 �J <br /> .:.:.;.. REMARK8 ORSAMPLE RECEIPT,.:__.. ERMAEMARKS::...:.. ..... SEND REPORT TO: Arc rJ5-rrE� 69 <br /> G BOTTLE INTACT CUSTODY SEALS ❑ CHILLED SAX 5.,F'_�KG_W46 o <br /> CI PRESERVED p SEALS INTACT 5EE REMARKS k� �' f-4v"r�" tMge400 k'�`" Fmflob 3133 <br /> ,fit! rla1D o r4 A4 d dL <br />
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