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ARCHIVED REPORTS_XR0002173
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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G
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GRANT LINE
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2375
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3500 - Local Oversight Program
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PR0545208
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ARCHIVED REPORTS_XR0002173
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Entry Properties
Last modified
1/27/2020 4:27:37 PM
Creation date
1/27/2020 4:18:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002173
RECORD_ID
PR0545208
PE
3528
FACILITY_ID
FA0003772
FACILITY_NAME
GRANT LINE SHELL*
STREET_NUMBER
2375
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21402017
CURRENT_STATUS
02
SITE_LOCATION
2375 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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SITE INSPECTION CHECKLIST • <br /> Client S k' n Date 3- 1-1-0&1 <br /> Site Address <br /> Job Number pwo�nw- ��I Technician <br /> Site Status S l Ic 1l Branded Station Vacant Lot Other <br /> Inspected 1 Labeled I Cleaned -All Wells on Scope Of Work <br /> Inspected I Cleaned Components -All Other Identifiable Wells El Gk <br /> Inspected Site for Investigation Related Trip Hazards Q <br /> Addressed All Outstanding Wellhead Repair Order(s) NI <br /> Completed Repair Data Sheets(s) N! <br /> Inspected Treatment I Remediation System Compound For Security, CRO <br /> Cleanliness and Appearance <br /> Inspected Vacant Lot for Signs of Habitation, Hazardous Materials or E-1 N1A <br /> Terrain, Overgrown Vegetation and Security <br /> PLEASE DE ADVISED THAT,UNLESS OTHERWISE INSTRUCTED,NO REPAIRS ARE PLANNED FOR THE ISSUES DESCRIBED BELOW <br /> Outstanding Problems 1 Comments (In addition to otherIssues,note all SOW wellboxes Thal,by design,are not securable) <br /> r ff S er <br /> PROJECT COORDINATOR ONLY . <br /> Checklist Reviewed _� s.� Notes <br /> InfltaWala <br /> BLAINE TECH SERVICES.INC. SAN JOSE SACRAMENTO Los ANGELES SAN DIEGO v Malnet�ch.00m <br />
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