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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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' Nee <br /> Y� <br /> �sglobal Environmental Geochemistry Chain of Cady Record PG #:_ <br /> Client: ;r Date: Page :' Of Z- <br /> Address: TEG Project#: 9 v Za 6c- Outside Lab#: <br /> Phone: Q W- 3x17$ FAX: Location: (6/s 4165b E.,tgr tt` S'l- <br /> Client Project#: CSS 5 .-VI/-k Project Manager: a Collector: t,,.7e,- Date of Collection: f <br /> m <br /> co <br /> m <br /> c m <br /> N r rn $ P a <br /> Sample Containercc 00 <br /> ¢ a m <br /> sample# Depth Time Type Type O O a x a x x Field Notes <br /> - CL <br /> IG o to 34 q <br /> r <br /> r f SGC SCS fast k ) <br /> Relinquished by: (signature) Date/Time Received by: (signature) Date I Time Total#of containers: Notes: <br /> I Y.'�1 � _ 1 � LAP[ l y t l Chain of Custody seals Y►N/NA <br /> ZZv cf/� <br /> f r seals intact? Y/N/NA <br /> Relinquished by: (signature) Date/Time Received by: ( gnature) Date I Time Received good condition/cold L� h <br /> Turn around time: <br /> Sample disposal lns&uctlons: ^TEG Alspoaal @$2.00 each _Return to client __ Pickup <br />
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