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ARCHIVED REPORTS XR0010266
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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1615
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3500 - Local Oversight Program
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PR0544799
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ARCHIVED REPORTS XR0010266
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Entry Properties
Last modified
11/19/2024 10:19:06 AM
Creation date
9/3/2019 3:36:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010266
RECORD_ID
PR0544799
PE
3528
FACILITY_ID
FA0003872
FACILITY_NAME
DISCOVERY CHEVROLET
STREET_NUMBER
1615
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23227019
CURRENT_STATUS
02
SITE_LOCATION
1615 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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i ' Neg <br /> , �sglobal Environmental Geochemistry Chain of CC'ady Record PO #: <br /> r <br /> Client: f S { Date: z Page f Of w <br /> Address: TEG Project#: %2-o$r- Outside Lab* — <br /> Phone:(, UV) 7"1 ^_ FAX: Location: i6, JS I 1/rl �f CA <br /> Client Project#: ATS-Ili-a3, Project Manager: (--5( He) Collector:_ 12c r, tee, Date of Collection: % _zf !y� <br /> T <br /> 129 <br /> m Q7 C <br /> Id l0 8l4 <br /> r y 9 C <br /> (�1) 00 00 <br /> Sample Container O o O m x x to u� e' o o <br /> Sample Y Depth ' Time Type Type ix a x Field Notes <br /> 0&�6 <C- t X 1( <br /> t <br /> s' x x <br /> r? <br /> 1" j x r <br /> -I y .S , $~ 6 So: i A A X <br /> S 3 <br /> -19 Po' to U04, I � a, e:SS X6X t <br /> X <br /> r7 S <br /> 12:30 (o;1 AJ k <br /> Ocv 10' fD 241D "1 r 1 <br /> r t 3o� 0'i k x <br /> S - S S I s' .So� I t <br /> Relinquished by: (signature) Date I Time Received by: (signature) Date 1 Time Total#of containers: i Notes: + <br /> � Ib1� i�r j Chain of Custody seals YMINA �cJy �"��r fc, <br /> Seals intact? Y/NINA h! <br /> Relinquished by: (signature) Date I Time Received by: (signature) Date 1 Time Received good condition/cold L <br /> Turn around time: <br /> Sample disposal Instructions: _TEG Disposal @ S2.00 each _Retum to client __ Pickup <br />
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