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ARCHIVED REPORTS XR0009819
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 XR0009819
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Entry Properties
Last modified
11/19/2024 10:19:00 AM
Creation date
9/3/2019 12:00:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009819
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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wtrt. �ttttt� t�tttw tt�� t�l� tws two a111t� � fltf� fid A f� � ifi � <br /> CHAIN OF CUSTODY CORD <br /> � P Geological Audit Services , Inc. Date .q_g Page or <br /> Ern�rnnmenta Profe�siona,Fs <br /> +arta <br /> JEW 1803 West March Lane, Suits A Stockton,California-95207 (209)956-0261 <br /> s � <br /> ClientPro ect Manager <br /> �/Ut�L I �1'V� Tuts Required <br /> Phone Number <br /> ZfJ�f �S�t-4T�Cs <br /> r� Sampler (SI nature) / invoice <br /> Project Name y GeoAudit <br /> � �� � Client ❑ <br /> Sample Location Sample Type No of <br /> Number Description Date Time Water Solid Notes <br /> P Air Conts <br /> Comp Grab � <br /> 7mv-1 ?*V i�� � -9. 3 <br />' U►• <br /> ylt4- 3 5-,i 13 <br />/ — ! <br /> ,q j3 9 X n VF.S.T.w. <br /> do t v <br /> Re ui <br /> Aignat Receivedy ignature Date/Time <br /> Relinquished by (Si atur Receive by (Signature) Daterrome <br /> Retinq shed by (Sign ture) Received by Mobile LabofajQfy for field analysis Sr nature) Qty . ">'A`r5 <br /> > A`r5 Dateftime <br /> Dispatched by (Signature) Datef ime Received for Laboratoryy e <br /> 4aleffimt3 <br /> Method of Shipment ULaboratory Name <br /> Special instructions I hereby authori the performance th ve indicated work <br />
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