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ARCHIVED REPORTS XR0009818
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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ELEVENTH
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515
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3500 - Local Oversight Program
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PR0544792
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ARCHIVED REPORTS XR0009818
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Entry Properties
Last modified
11/19/2024 10:19:00 AM
Creation date
9/3/2019 12:00:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009818
RECORD_ID
PR0544792
PE
3528
FACILITY_ID
FA0004849
FACILITY_NAME
BILLS BAIT & BEACON GAS
STREET_NUMBER
515
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
515 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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� � � 1• � 1• � � � � � � � � � �f tom■ <br /> CHAIN OF CUSTO RECOI t� <br /> � Geological Audit Services , Inc . 3_��_q <br /> En�ronmenta Prolessiona,[s date Page �-� l <br /> r`trrr7atttr� <br /> 1803 West March Lane Suite A Stockton California-95201 (209)956 0264 <br /> r <br /> Client 6'11 ( Project Manager Tests Required <br /> Rob Mar <br /> Phone Num er <br /> C Cq) a sh- 0.26 <br /> Samplers (Signature) Invoice <br /> Project Name 5� wa r7 s �P4 c o+1 � GeoAudd <br /> Client ❑ <br /> Sample Location Sample Type No of �j / /� <br /> Number Description Date Time Water Solid Conts Notes <br /> Air <br /> Comp Grab <br /> 13 0�— 4 FY <br /> 5 � -zO r�+fndrnrn9 Slbc�i�frj� ; l� 13 : �o X CoKIP45'1-t 5P-;t0, <br /> SP`s t , w.�s� 13' 2 ►; X j SP�� 1 <br /> inquis by ignatur <br /> 4 ecetva Q t e ata(Time <br /> 510IAddt� r AT- <br /> R i y gn lipceive Stn pl-eayg rh[1c.tJ-e QA <br /> if at e <br /> at u y (Signat <br /> Received by Mobile Laboratory for field analysts (Signature) DateJTime <br /> Dispatched by (Signature) Date/Time TRec. ved fo boratory by DatelTi <br /> rne001 <br /> Method of Ship13( <br /> ment Laboratory Name <br /> Special Instructions t hereby authorize the performance of th Abli ��s i <br /> + <br />
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