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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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7� l TAT' <br /> �X80 ChesapeaWbrive - Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364 <br /> -SEQUOIA ANALYTICAL <br /> 0 819 Striker Ave., Suite 8 - Sacramento, CA 95834 - (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN OF CUSTODY (J 404 N.Wiget Lane -Walnut Creek, CA 9498 - 925) 988-9 600 FAX ( 25) 988-9673 <br /> Q 1455 McDowell Blvd. North, Suite D , Peta5uma,(CA 94954 - (707) 79291865 FAX (707) 792-0342 <br /> Company Name:.47-C Ask,C-r r <br /> Project Name: <br /> Mailing Address:/// Billing Address (if different): <br /> City:/` its State: G4L Zip Code: <br /> Te I e p h o n e:ZL`9 7zi- — G2 Zi FAX #: 7Y -'2?-Z 5 P.O. #: <br /> Re To Sampler:4(kn�c Tloy-e--s QC Data: revel D (Standard) CJ Level C. U Level B Q Level A <br /> -.--\e A K%Le- ( <br /> Turnaround D11-01"Working Days ❑3 Working Days 0 2-8 Hours 0 Drinking Water [Analyses Requested] <br /> Time: 0 7 Working Days 0 2 Working Days 0 Waste Water <br /> D 5 Working Days 0 24 Hours KOth.r[, ,J <br /> Client Date/Time Matrix # of Cont. Sequoia's <br /> Sample I.D. Sampled Desc. Cont. Type Sample 4 1k Comments <br /> q i., " 'YtAft%it:L- <br /> 3 11"S.5ro <br /> 2. AA V/ Z- V- Ll r 'ar6r)( . rr <br /> I <br /> W. <br /> 3. �4 0 <br /> 4. <br /> 5. <br /> 6, M Li <br /> 7. 0 <br /> Cr <br /> 8. rn <br /> 10. <br /> Relinquished By: 4-5e, D ate:0-i ?,C1 y Time: Received By: � CG z,.c C Date:J-/4-y;l Time: 2- <br /> Relinquished By: DateS/)/ Time: 2-o Received By: Date: Time: <br /> Relinquished By: Date Time: c4yv-- Received By Ab -Date: z- Time: <br /> Were Samples Received in Good Condition? J Yes 0 No Samples on Ice? Z- e s Ci No Methqf/Shipment CC Q ii Page of <br /> -—----------------------------------------------------------------------------------------------- ------------------------------------ <br />
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