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SR0081321 SSNL
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SR0081321 SSNL
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Entry Properties
Last modified
2/10/2022 10:51:36 AM
Creation date
12/17/2019 3:54:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0081321
PE
2602
FACILITY_NAME
GREWAL FARMS
STREET_NUMBER
4700
Direction
W
STREET_NAME
LOVELY
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25010013
ENTERED_DATE
10/25/2019 12:00:00 AM
SITE_LOCATION
4700 W LOVELY RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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A & L WESTERN LABORATORIES, INC. <br />1311 Woodland Ave. #1 • Modesto, California 95351 • Phone 209-529-4080 <br />, AGIKUITURAL • ENVIRO.ENTAL • INDUSTRIAL <br />mreamaga <br /> <br />CHAIN OF CUSTODY <br />Client <br /> <br />i v C 0 Ni51) if/ iN/ (7 <br />P-6 37 C)4 <br /> <br />Phone <br /> <br />Address <br /> <br />CC to: <br /> <br />Signature of person authorizing work <br />under terms stated below • A A7A r OtH,e,t/ <br />' 1...i' <br />*Net 30 days. All accounts past due will be subject to interest charges of 1.5% per month. <br />Hazardous materials are the property of the client. The client is responsible for proper disposal of hazardous wastes. Clients not <br />picking up hazardous wastes may be assessed an appropriate fee. <br />PROJECT ID 7 <br />(7 P, L:; tvA L <br />No. <br />of <br />Con- <br />ers <br />ANALYSIS . <br />, i REMARKS b 1„ <br />. <br />1\ <br />SAMKED <br />/ <br />(......i-)- <br />BY: (akomature): <br />1 ,.t.--'' , <br />/A /Ad...ft.-el <br />sample type Sample Location Date Time Grab COMP. <br />FF. <br /> 41/ / <br />„ ,,-- , Relinotiished by (sig. nfaytpre): pate <br />CI Li <br />i --' (-) <br />I <br />i 1 <br />Time <br />, <br />/v <br />Rece ir i ed by (signatp): ./ <br />; ./ k Date Time <br />Relinquished by (sgnature): I <br />/ <br />Date Time Received by (signature): Date Time <br />Relinquished by (signature): Date Time Received by (signature): Date Time <br />Relinquished by (signature): Date Time Received by (signature): Date Time <br />Relinquished by (signature): Date Time Received by (signature): Date Time <br />Site Time: <br />Start: Finish: Total Hours: <br />Driving Time: <br />Start: Finish: Total Hours: <br />Dedicated Exclusively to Providing Quality Analytical Services
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