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ARCHIVED REPORTS XR0006810
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 XR0006810
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Entry Properties
Last modified
7/9/2019 5:07:40 PM
Creation date
7/9/2019 3:23:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006810
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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it <br /> CHAIN OF CUSTODY RECORD AND ANALYSIS REQUEST <br /> PROJECT NO PROJECT NAMEISITE ANALYSIS REQUESTED <br /> nn PO 0 %83 <br /> �xxoW <br /> SAM ERS (SIGN) w w o <br /> z 4x A <br /> (PRINT) ��e �rz(1 -� G uo5 ^h3 43, \V <br /> 1 a. � <br /> SAMPLE IDENTIFICATION DATE TIME o < PRIESU �Q a <br /> 0 USED Z h �.Q �O �° Ory gory REMARKS <br /> [�� ✓ vi ortR P d `I c na I <br /> ){;u « f <br /> CL1 L C riPHL <br /> ?�T� iz;;. PT, <br /> h <br /> r <br /> RELr SE BY DATE TIME RECEI D ` LABORATORY PLEASE SEND RESULTS TO <br /> 69 1550 <br /> est 5� <br /> RELI UI$ Ef�� DATE TIME RECEIVED BY v'`�A �na I i to f ! <br /> �r�U Nly.nlj� <br /> RELINQUISHED BY DATE TIME RECEIVED BY REQUESTED TURNAROUND TIME r5 c o l u, CA � 3 av <br /> a <br /> *RELINQUISHED 13Y DATE TIME RECEIVED BY LABORATORY' RECEIPT CONDITION PROJECT MANAGER <br />
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