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ARCHIVED REPORTS XR0010164
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 XR0010164
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Entry Properties
Last modified
11/19/2024 10:19:05 AM
Creation date
9/3/2019 1:48:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010164
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
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EHD - Public
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CLIENT CHAIN OF CUSTODY RECORD <br /> NAME '�° '{ REQUEST FOR� ALYSIS LP <br /> ADDRESS -� 5 XF- 04-'j4T ') DATE Wright <br /> �rr _ <br /> S 7- 4�Z rwt1,4 rA 174 S?4/ PAGE 1 OF�� Environmental 209 833 0758 •Fax 209 832 5152 <br /> PHONE NO FAX NO Services,Inc. -e-f�- tiros et •Tracy,CA 95376 <br /> PROJECT NAME �rr �C�}e' ri 'r'°$ -F .�! f6� I f 7� �! <br /> SEND REPOFM�O r €� 'f <br /> oto <br /> r � TURN AROUND TIME ANALYSES REQUIRED <br /> PLEB NAME/SIGNATURE _ j NORMAL ' <br /> ., RUSH CV v LnCM N <br /> i <br /> SAMPLE SAMPLING PRESER- CONTAINER SAMPLE DESCRIPTION <br /> NUMBER DATEgiME VATIVE SIZE/TYPE WATER SOIL OTHER m <br /> •1 f r H J �jr� i[l4J <br /> .11/;4 �l}h 'gm-55 bfr / /- fes. f <br /> 4 <br /> y � <br /> t <br /> i <br /> \ <br /> COMMENTS , i 5 s`� ' !- j j:e'', 1 �`�)L r � C o X C� F rf 6"-" S%� UIX 4 r <br /> Relanguished by (Signature) Date �� Received by (Signature) Date r Rehnguished try (Signature) Date y-��. ceiYeti by (Sigrtiatur$}h Date <br /> rJ �'�i [��t=� •J <br /> Company Time Company, _ Time CompanyTime Company Time <br /> i > 1 <br /> k` Airc-� <br />
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