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ARCHIVED REPORTS XR0006784
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 XR0006784
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Entry Properties
Last modified
7/9/2019 4:28:38 PM
Creation date
7/9/2019 3:21:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006784
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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EHD - Public
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PEL # 9412021u AtI-I <br /> oIagies <br /> .IN OF CUSTOY <br /> INv # 25495 <br /> LI l I <br /> •ENNIROWMALFROjEC'1's"NA6ENID.7. Date. Page of—L_ <br /> himoWay a P0.Box 576185•Modesto,CA M7 <br /> PROJECT 1 D WrJtWjA Rf4l iY -MVS ANALYSIS REQUEST # <br /> ADDRFSS 2,�6� � Srn EC—1 —W��f T T T B E UA OR R O O F <br /> P B T & RL LG G T L <br /> J_ D.A4fP JONN.I -J C <br /> SAMPLI R S NAIvSE H H G E G A AC AN N L B N <br /> L BA T1 I L T <br /> SIGNATURE \JV G D 8` X LR IC C L E A <br /> B S EB LS E I <br /> J/ <br /> Ti�LII'HO\ENUMSER`� Z1-3591 E [d.Cr $ E D O E L A L A E <br /> X �,� D D K <br /> SAMPLE I D DA TIME MATRIX N, S <br /> ' 1 2-q143y So Water X X 4 <br /> r"I(•+~L 12-L N 1`1DD Soi ater I I X I yC q <br /> 1'1�►"3 f2-Z Q�1 1320 Water x X <br /> Soil Water <br /> Soil Water <br /> Soil Water <br /> I <br /> LABORATORY INSTRUCTIONS/COMMIrNT5. RI:IV, ULSHED 6Y: RELINQUISHEDBY. RELD QUISHED BY <br /> .10V 11A19P <br /> Tum-around Time(Orde One) J Panted Name Pnnted Name <br /> Same Day 24 Hrs 4811rs. 72 Hrs. otTn n Company Company <br /> VN 1 ftkeaVeO ( ITN AC L— <br /> nature �/ Sibnaturo Stgruturu <br /> AL1- C&Jr IA.WJ NGLO V&4W Time �y Date 7'�r Time Date Time Date <br /> RE(arb",ornw ATS v.y bL B y RECEIVED BY. RECEIVED BY. <br /> P ted Ame Pnnted Name Pnnted Name <br /> ANALYTICAL <br /> RUMMY 6MAV,4Ww..rjQL, m ny Company Company <br /> LABORATORY <br /> QZY j"l1LrPfY'iQl t tore Sigruture Signature <br /> Time + atTime Date Time Date <br />
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