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ARCHIVED REPORTS XR0010137
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 XR0010137
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Entry Properties
Last modified
11/19/2024 10:19:05 AM
Creation date
9/3/2019 1:48:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010137
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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CHAIN OF CUSTODY r 1 <br /> Ron: Page ! of r <br /> COMPANY v <br /> ADDP, S #7b� �� 1�4aa <br /> City ff ��rn��VC7ff''��_DCn � ST. Zlp <br /> `f Order Entry Administration <br /> Phone _ 43 _ Fax F3 — s Carter Analytical Laboratory, Inc <br /> P_O. Number: i Project Number. �()Q 408) 364-3030 • (408) 866-4757 (FAX) <br /> Site Name: Site Location. <br /> w ALYSES <br /> on 14 4-1 c"1 N }�/ <br /> � m tin a9:6 JPd <br /> i <br /> � / 1 <br /> Sample ID Number SAMPLE INFORMATION <br /> Q MWI <br /> rn� <br /> 1- mug <br /> Az <br /> Relinquished Ry (Signature). Received By (Signature) Date Remarks <br /> Relinquished By: (Signature): Received By. (Signature): Date. j <br /> Relinquished By (Signature) Received By (Signature) Date Relinquished By iSignatuiej Receiwd By-(Signatmej, nate <br />
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