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ARCHIVED REPORTS XR0006774
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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EAST
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2360
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3500 - Local Oversight Program
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PR0544639
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ARCHIVED REPORTS XR0006774
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Entry Properties
Last modified
7/9/2019 4:39:16 PM
Creation date
7/9/2019 3:15:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006774
RECORD_ID
PR0544639
PE
3528
FACILITY_ID
FA0005076
FACILITY_NAME
DICKS EXXON
STREET_NUMBER
2360
STREET_NAME
EAST
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23346001
CURRENT_STATUS
02
SITE_LOCATION
2360 EAST ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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1, 2 <br /> GROUND ZERO ANALYSIS <br /> CHAIN OF CUSTODY RECORD ANALYSIS REQUEST <br /> PROJECT NO PROJECT NAME/SITE ANALYSIS REQUESTED PO <br /> ti <br /> 57- 03 G , <br /> SAMPLERS (SIGN) <br /> /(PRINT) ZO M I�On✓t C q�. z 'dory h <br /> \ hI <br /> SAMPLE IDENTIFICATION DATE TIME co <br /> FRES �0CL <br /> }Ory A. <br /> �� O �b <br /> 0 O USED � � '2T �y� '`RSD �O `oo �� t' REMARKS <br /> ti rl A+�.� -- iia s /1/0 X MT € A fc. E-rBe <br /> I <br /> r <br /> T <br /> , I <br /> +, I <br /> A4 1 <br /> I Y� <br /> i <br /> I <br /> RELINQUISHED BY DATE TIME RECEIVED BY i LABORAIORY PLEASE SEND RESULTS TO <br /> RELINQUISHED by DATE TIME RECEkD BY <br /> RELINQUISHED BY DATE TIME ` IkEIVED BY REQUESTED TURNAROUND TIME pilu'c N oq 'FIT, 91M <br /> f <br /> RELINQUISHED BY DATE TIM REgE BY RECEIPT CONDITION PROJECT MANAGER <br /> S � I <br />
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