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ARCHIVED REPORTS XR0011896
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 XR0011896
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Entry Properties
Last modified
11/19/2024 10:19:09 AM
Creation date
9/4/2019 11:50:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011896
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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[ f ( [ [ [ [ [ [ [ C [ _ C C [ [ C [ ( [ [ <br /> ATC ASS �'IATCS, INC. <br /> CHAIN OF CUSTODY <br /> Project Information: Report To: Samples Submitted To: <br /> Project No: 1 . 0 Consultant: ATC Associates Inc. Laboratory: Argon Labs <br /> Project Title: 611,vCY Address: 1117 Lone Palm Avenue,Suite B Address: 3037 5Ih Street <br /> Location: L7 S. Flt•vl�4 Sf Modesto,California 95351 <br /> 7 7 Tra r Contact• Contact: Ceres,CA' s5sD7 <br /> Sampler's Name: Phone: (209)579-2221 Phone. (209)591-9280 <br /> (Print) At-4(fin C h r,s q Fax: (209)579-2225 Fax: (209)581-9282 <br /> Sampler's Signature: Bill To: Date Results Required: <br /> Aa <br /> Client: Same Date Report Required: <br /> Address: <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> (5 Day) (10 Day) ^t, <br /> is <br /> El E F1 Ela <br /> m <br /> c � <br /> lrl ci U)m� _ <br /> d T <br /> w <br /> M A! O' LL A <br /> rn u <br /> J <br /> IL <br /> IL W ltd lk. m o COMMENTS <br /> Sample ID. Date Time #Containers Matrix to <br /> Preservative <br /> CPTH wi`t oyogoY 113$ G- w � x' _ PIC-1 <br /> C PT► wsa oy-a8-dY !-I'� Y U W )K � W 1 11•e e <br /> i ice <br /> r" S DS OY-08 dy <br /> ice <br /> Reltnunshed y: i Date: Time: Received By: i Date: Time: SPECIAL INSTRUCTIONS: <br /> Relinquished By: Date: Time: Received By: Date: <br /> Time: <br /> Relinquished By: <br /> Date: Time.- Received By: Date: Time: <br />
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