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ARCHIVED REPORTS XR0010015
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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612
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3500 - Local Oversight Program
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PR0544794
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ARCHIVED REPORTS XR0010015
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Entry Properties
Last modified
11/19/2024 10:19:02 AM
Creation date
9/3/2019 2:14:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010015
RECORD_ID
PR0544794
PE
3528
FACILITY_ID
FA0013337
FACILITY_NAME
SOUZA II LLC (VACANT LOT)
STREET_NUMBER
612
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23439018
CURRENT_STATUS
02
SITE_LOCATION
612 W ELEVENTH ST
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\wng
Tags
EHD - Public
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Na <br /> GR ZERO 6 <br /> CHAIN OF CUSTODY RECORD ANALYSIS REQUEST <br /> PROJECT NO PROJECT NAME/SITE ANALYSIS REQUESTED PO 0 <br /> Ll l:s-o o Ji <br /> o V <br /> SAMPLERS {SIGN) Frye 2 �� 'ter <br /> y <br /> t1 rs <br /> SAMPLE IDENTIFICATION DATE06 <br /> TIME 0 3 PRES o O aV ^\ eo <br /> USED 5 2 �C 4'� IS, Cb REMARKS <br /> k/ E C�i/L3JC3 !Ll3 W <br /> -71 <br /> Gi/crAy <br /> I <br /> I <br /> RELINQUISHED BY DATE TIME RECEIVED BY LABORATORY PLEASE SEND RESULTS TO <br /> 3 ZI(c 0 d 7_ <br /> RELINQUISHED BY DATE TIME RECEIVED BY C&,-",- <br /> RELINQUISHED <br /> BY DATE TIME RECEIVED BY REQUESTED TURNAROUND TIME <br /> REUNQUI5HED BY DATE TIME RECEIVED BY RECEIPT CONDITION PROJECT MANAGER. <br />
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