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ARCHIVED REPORTS XR0011739
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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7500
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3500 - Local Oversight Program
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PR0544801
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ARCHIVED REPORTS XR0011739
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Entry Properties
Last modified
11/19/2024 10:19:08 AM
Creation date
9/4/2019 10:56:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011739
RECORD_ID
PR0544801
PE
3528
FACILITY_ID
FA0003210
FACILITY_NAME
TEXACO TRUCK STOP
STREET_NUMBER
7500
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95378
APN
25015018
CURRENT_STATUS
02
SITE_LOCATION
7500 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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THE SAN JOAQUIN COMPANY INC. <br /> LJ 8617 Etcheverry Drive, Tracy, CA 95376 CHAIN 4F CUSTODY 1 <br /> Voice: (209) 832-2910 Fax: (209) 533-1288 REQUEST:-FOR ANALYSIS <br /> )( .1120 Hollywood Ave. No. 3, Oakland, CA 94602 RECORD <br /> oice (510) 336-9118 Fax: (510) 336-9119 <br /> Project: -7S� 11 s t `1'�,e.�- --- Laboratory: SEtp,mac 4 <br /> Project No.: I Qvo'L•or 2Project Mgr.:a�g. yo,", a s Carrier: C� <br /> Sampling Team: "� S_� 1 M _ Waybill No.: +a 1 Par <br />- Sample No. Type Sampling Location Date Sampled Time Sampled Analyses Requested Lab.No. <br /> y Z w .r o . Z 03 <br /> 46, N e $ : 3 I O� <br /> kl o + C'S : <br /> a <br /> q 6,17 <br /> 12 Sa (L a <br /> �► �, o D� <br /> r <br /> ao: .Z� <br /> u , y UP : <br /> 10 : 3Z <br /> X20 i , 4 !a I. r <br /> Sample Hazards: Priority: Routine Expedited Ll Special Ll <br /> Notes: / <br /> CUSTODY RECORD Print Name Company Date Received Time Received Date Relinquished Time Relinquished Si ature <br /> Originator: A I r- T-6, -7p Lz�) <br /> Received/Relinquished by: <br /> Received/Relinquished by: <br /> Received/Relinquished by: <br /> Received at Laboratory by: ` S� w C, lOp •0 y ��,g� <br />
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