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ARCHIVED REPORTS XR0011871
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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7675
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3500 - Local Oversight Program
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PR0544802
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ARCHIVED REPORTS XR0011871
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Entry Properties
Last modified
11/19/2024 10:19:08 AM
Creation date
9/4/2019 11:40:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011871
RECORD_ID
PR0544802
PE
3528
FACILITY_ID
FA0005153
FACILITY_NAME
FAYETTE MANUFACTURING CORP
STREET_NUMBER
7675
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
25014012
CURRENT_STATUS
02
SITE_LOCATION
7675 W ELEVENTH ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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j.... . „ - .. . ..., i,* ., ......, 1.-,. '.� ..•.',�'i ....... ...,.•.... �,. .... T� .......� __ - _ ....-....... = <br /> 4DtOUOIA ANALYTICAL , 680 Chesapeakb_ - Redwood City, CA 94063 - (650) 364-9600 FAX (650) 364-L _J <br /> ❑ 819 Striker Ave., Suite 8 - Sacramento, CA 95834 - (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN OF CUSTODY ❑ 404 N.Wiget Lane -Walnut Creek, CA 94598 - (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd. North, Suite D - Petaluma, CA 94954 - (707) 792-1865 FAX (707) 792-0342 <br /> Company Name: ATL Project Name: (cv�� <br /> Mailing Address: 11i-7 Billing Address (if different): <br /> City: I" e State: CA Zip Code: 95391 <br /> Telephone: Zd-1 S 7 - Z2.Z ! FAX #: Z 9 , S- -2.,;>-ZZPO. #: <br /> a� <br /> Report To: Sampler:�� L ��- QC Data: Level D (Standard) ❑ Level C ❑ Level B ❑ Level A U <br /> J L f�` <br /> Y <br /> Turnaround X10 Working Days ❑ 3 Working Days ❑2 - 8 Hours ❑ Drinking Water Analyses RequestedCL <br /> Time: 0 7 Working Days ❑2 Working Days ❑Waste Water <br /> ❑ 5 Working Days ❑24 HoursOther�� <br /> Client Date/Time Matrix # of Cont. Sequoia's mac, �� ti Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # ,L2 ao° p� -b <br /> 1. S o3agy q :-�T Sa, l s�a�l 61 <br /> 0 <br /> Z b" -tip07 <br /> 2. ist�-„\AVA-Z5-5` iv: U3 <br /> 3. CsP WS-Io- f 2:ZSr �( o <br /> r <br /> 4.( - vVS-ZS S Z `f L <br /> -13 y <br /> 6.GP” w �zs.s t`I�54S <br /> I <br /> 7. o <br /> a) <br /> 8. 0 <br /> a� <br /> 9. <br /> 10. <br /> Relinquished By: '] Date:6310Time: 124no Received By <br /> Relinquished By/ Dat _ ime:I�r Received Sy: -- - ate: �re—) <br /> Relinquished By: ate - { Times Received By ab: DateUjo/115' Time: 13`� <br /> I <br /> Were Samples Received in Good Condition? ❑ s ❑ No Samples on Ice? �d'Yes ❑ No Zhod of Shipment+) 1KVK h V1 Page of <br />
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