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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CLOVER
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835
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3500 - Local Oversight Program
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PR0544565
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FIELD DOCUMENTS
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Entry Properties
Last modified
6/14/2019 2:09:08 PM
Creation date
6/14/2019 1:57:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544565
PE
3528
FACILITY_ID
FA0025332
FACILITY_NAME
RALPH HAYES AND SON INC
STREET_NUMBER
835
Direction
W
STREET_NAME
CLOVER
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
835 W CLOVER RD
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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GRAIN-OF-CUSTODY RECORD <br /> Send Report and Invoice To: <br /> Terrasearch, Inc. (Environmental) Sheet of <br /> 1580 N.Fourth Street C-O-C Control No.: <br /> San Jose,California 95112-4676 Project Name: GL�t� <br /> (408) 453-1180 Project No.: S'; <br /> Samplers: <br /> LABORATORY NAME: Prio r/ J G Carrier/Airbill No.: <br /> Address: <br /> Telephone: FAX: <br /> SIGNATURES (Name, Cornpagy, Date and Time): Certificate No.: Contact: <br /> Relinquished By: IGS D iI Z)e-, i9 's0 a eceived B o . <br /> � y� A� <br /> - to <br /> REQUEST FOR ANALYSIS <br /> Sample No. Sample I.ocaliun Dale/Time Collected Sample Container Preservative REQUESTED ANALYSIS <br /> fflyl'� 'Iypc/Size Detection Comment <br /> �U7-A <br /> � Limit <br /> t I r JCP (' c <br /> c, <br /> PEL ## 9510016 p <br /> INV ## 26401 l <br /> White-Terrasearch Project File Yellow-Terrasearch Field File <br /> Pink-Laboratory Copy <br />
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