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ARCHIVED REPORTS XR0009374
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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EL DORADO
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3105
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2900 - Site Mitigation Program
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PR0542208
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ARCHIVED REPORTS XR0009374
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Entry Properties
Last modified
7/24/2019 4:59:36 PM
Creation date
7/24/2019 4:51:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009374
RECORD_ID
PR0542208
PE
2960
FACILITY_ID
FA0024243
FACILITY_NAME
CALIFORNIA TANK LINES
STREET_NUMBER
3105
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
17512028
CURRENT_STATUS
01
SITE_LOCATION
3105 S EL DORADO ST
P_LOCATION
01
QC Status
Approved
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Tags
EHD - Public
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PREWISIGN ENVIRO-TECH # CHAIN OF CUSTODY <br /> AND ANALYSIS REQUEST DOCUMENT <br /> DETAILSCLIENT ' 'OINFORMATION <br /> f Rush Analysis 5 Days _2 Days_24hrs_ <br /> Client — otC&T C Lwu-s Ivy-, , Sampler(s) LL_f:nymnm <br /> nU 1 -o Subject to surcharge <br /> Customer Number <br /> Comp Sampler Set Up Date r. Time QA/QC report required yes no <br /> Address ?:,100-') ' a Time Mileage If yes, To State <br /> /Client Other <br /> Lab number <br /> Phone ( <br /> s � <br /> FAX <br /> o <br /> o > � <br /> Protect name 12CO F 4 ► <br /> he <br /> Contact per on �� a a v <br /> r m ° o ° r 4. cc <br /> w <br /> ca <br /> • " INFORMATION <br /> Same pori Date Time m c 4 x <br /> P Location Description =0 3 3 w ,j O <br /> Number Sample Sample z a v a e U <br /> b+ e1 US �' IVB C� / x X <br /> z s�r y.� U xx <br /> CUSTODY <br /> r <br /> 77777 Relinquished Da a rr�� Received by Date Time <br /> 41 k5pli <br /> Relinquished a D me��itecesved by 4�K' <br /> e ' <br /> Relinquished by ate Time Received by to Time <br /> PRECISION ENVIRO-TECH 7743 N West Lane, Suite B2 *Stockton CA 95210 *Telephone(209)477-8105 *FAX (209)477-8148 <br />
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