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ARCHIVED REPORTS XR0010120
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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ARCHIVED REPORTS XR0010120
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Entry Properties
Last modified
11/19/2024 10:19:05 AM
Creation date
5/16/2019 8:48:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010120
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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SJGOV\wng
Tags
EHD - Public
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0 - <br /> CHAIN OF C US DY AEC®RD � <br /> ERM—West, Rnc. 1938 <br /> 1777 Botelho Drive, o 0 0 0 - Pae of P <br /> Suite 260 Walnut Creek, CA 94596 (510) 946-0455 FAX (510} 946 9968 9 <br /> PROJECT# PROJECT NAME <br /> MATRIX REQUESTED PARAMETERS <br /> 33 711-4iD -z- <br /> SAMPLER <br /> SAMPLER (PRINT NAME) (SIGNATURE) <br /> L <br /> RECEIVING LABOR ORY <br /> D� <br /> SAMPLING a. �? ut z SAMPLING " <br /> SAMPLE I D DATE TIME p METHOD ¢� �} VOLUME <br /> l!'t eta La ►Lg <br /> 4-' t tgi ter- to m X, X X Al <br /> -T> fa IT I- 3"der <br /> RWVQUISHED BY(4iGNATUkEj DATE TIME RECEIVED BY DATE TIME FIELD REMARKS- <br /> RELINQ I HED BY(S RE) DATE TIME Elgp BY DATE IME <br /> t , <br /> - r <br /> RELIN16AHED BY.(SIGNATURE) DATE TIME RECEIVED BY DATE TIME p <br /> REMARKS ON SAMPLE RECEIPT EFW REMARKS SEND REPORT TO <br /> ❑ BOTTLE INTACT ❑ CUSTODY SEALS ❑ CHILLED <br /> Vv 4 <br /> ❑ PRESERVED ❑ SEALS INTACT ❑ SEE REMARKS — ` fit <br /> a <br /> WHITE-LABORATORY COPY CANARD-FIELD COPY PINK-DATABASE MANAGER GOLD-PROJECT FILE <br />
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