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ARCHIVED REPORTS_XR0002361
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GRANT LINE
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3500 - Local Oversight Program
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PR0545195
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ARCHIVED REPORTS_XR0002361
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Entry Properties
Last modified
1/23/2020 3:19:31 PM
Creation date
1/23/2020 11:59:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002361
RECORD_ID
PR0545195
PE
3528
FACILITY_ID
FA0002915
FACILITY_NAME
TRACY MARKET INC
STREET_NUMBER
15
Direction
E
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21435004
CURRENT_STATUS
02
SITE_LOCATION
15 E GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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� � s <br /> Submission# 2001 11 0391 <br /> ® I ll <br /> Gas18TEXFuelOxygenateeby8260B ® CHAIN OF CUSTODY i HZOGEOL A GROUNDpATgR CONSULTANCY DATE 11/19101 PAGE 1 of 1 <br /> Batch QC report P O BOX 2165 Sample$puy0e <br /> STL Chmm111h LNERMORE CALIFORNIA 94551-2165 <br /> Test Method 82608 Prep Method 5030B 1220 a-,ry Line The CLretomer Company <br /> P*mnbn CA 94W Former Cheaperi#37 <br /> Laboratory Control Splke(LCMCSD) Water QC Batch A 2001!11130.02 27 TBI 925 4541919 SAMPLER(S) t o u 15 Est!Grant]Ins Road <br /> T Callfortaa <br /> LOS 2001111!30.0227016 Extracted 11130/20011617 Analyzed 1113080011617 FwweeWncwm SAMPLERS SIGNATURE <br /> LCSD 2001111!30-02 27 020 Extracted 11130/2001 17 39 Analyzed 511308001 1739 "^""`"f°m■aa rqm <br /> G CHS ElAPe1o94 SAMPLE REGIEPT <br /> TOTAL No of CONTAINERS <br /> CHAIN OF CUSTODY SEALS <br /> Dp1 Canc.IWtl Evo La+c(ugly Recowryl%3 RPD ChlL�miN I%] F4pe R=0000 C*40MONrCOLD <br /> LU <br /> LCS LCSD LCS tOSD LCS LCSD IX] Recovery RPD LCS tCSD CONFORMS 70 RECORD W Z <br /> O I <br /> Me0M*t-"N770 241 250 250 910 964 51 W166 20 LAS NO m W U <br /> Mr <br /> 5"U" 215 729 210 230 goo 916 9 a 69129 20 � AaG1 LL <br /> O <br /> T06wne 211 73.6 2E0 25a 04♦ 94 0 i D 9 70 130 20 <br /> M <br /> $G110�Ih(i� �FjO <br /> m � e9 <br /> 1,20rldaowww64 1557 909 500 500 1116 MA 79114 w z <br /> Tokww-6 600 406 500 000 1012 992 96110 <br /> tu <br /> AM "M� m K» 7 <br /> 14137MIW-1 11/17/01 iZ1k WATER X X 5 <br /> 14/371MW-2 11/17/01 1 WATER X X 5 <br /> *ARM. <br /> 14/371MW 3 11117/01 ) 4A WATER X X 5 <br /> 14137A4W-4 11/17/01 I k qj WATER X X 5 <br /> 14/371MW-5 11117101 ;k " WATER X X 5 <br /> 14/371M-i 11117/01 i Lt;g% WATER X X 5 <br /> [_tel 141371M 7 11117/01 W WATER X X 5 <br /> 14137ANW�8 11/17101 WATER X X 5 <br /> 10-0ay TAT <br /> RELINQUISHED BY RELINQUISHED 6Y <br /> fWSG� Cl!/y F' v�So <br /> SIGNATURE O SIGNATURE D v <br /> TIME t TIME <br /> PRINTED NAME e w PRINTED NAME <br /> M2 0CEOL DATEDATExgacaoa DATE <br /> COMPANY 11119101 COMPANY <br /> RECEIVED BY RECENEO BY Y J <br /> SIGNATURE 7 d srNAmn / D/ <br /> TIMr: nME <br /> PRINTED NAME '] <br /> PRINTED NAME <br /> DATE <br /> I COMPANY sioc`ot COMPANY STL Chtama]ab Inc. 11/19101 <br /> ssL Greemeah.e wh m b.v.m Tml Letw Mena h a Page 15015 <br />
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