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ARCHIVED REPORTS XR0010048
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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595
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3500 - Local Oversight Program
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PR0544793
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ARCHIVED REPORTS XR0010048
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Entry Properties
Last modified
11/19/2024 10:19:03 AM
Creation date
9/3/2019 1:26:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010048
RECORD_ID
PR0544793
PE
3528
FACILITY_ID
FA0006237
FACILITY_NAME
HONEST AUTO SALE AND REPAIR
STREET_NUMBER
595
Direction
E
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23337004
CURRENT_STATUS
02
SITE_LOCATION
595 E ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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• Sampie Receipt Checklist STLSan Francisco <br /> Submission -: 2402- - js <br /> Cnec'ciist completed by (initials) Ire Y Cate 12- j 5D 102 <br /> Courier name ❑ STL San Frac sco 2t-Lient Not <br /> C.istoay seals intact an srimping cantainerrsamnies Yes No P,esent <br /> ✓1 <br /> CSain or custoav present Yes No <br /> Chain of custody signed wrien reunouisnea and receivea'7 Yes � No <br /> Chain or custody agrees with sarticie laeeis? Yes No <br /> 42mnles in proper containeritocde'� Yes No <br /> Yes No <br /> Samoie containers intact? <br /> Surfic.ent samoie vaiume for incic ated`est? Yes No <br /> ✓ <br /> Ali samcies receivea Nithin h6cing time? Yes � No <br /> � � �": <br /> Contained7emn Blank temoerture in=maiiance (4o C==} <br /> Temp Yes No <br /> No '/CA pais sucrratea yes No <br /> Nater-VCA riais nave zero neaascacs <br /> 0 �mevurn(if cuenie is present rerer'o aacrwarnate aunnie siz?ariaItemize 'n co'nments as S (small -0) YI - �l cr L(l2rae - LJ) <br /> ,mater- pH accentacie upon recmizt'% _-''es <br /> off as}usted- mese^rative used _ riNC3 :: -,C, "laC" <br /> =ar any item: c.'iecx-tistea "No", proviaea astaii or aisc-evancv in comment sec-ucri ceiaw <br /> Camrnents• <br /> I <br /> Mroject Management [Routing for :ns:ruc.3on ar inatcatea also:ecanc-Alcs.I <br /> �'OIeG; ManaaCe- (inivais r nate 42 <br /> C;�e�it c;.ntac;efl 'yes -- No <br /> SL.mrnsrr Cr msc.sssicn <br /> rte»,re.=c�cn {ter �`NC,.eritt <br />
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