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3500 - Local Oversight Program
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PR0545272
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Last modified
1/31/2020 6:00:03 PM
Creation date
1/31/2020 4:30:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545272
PE
3528
FACILITY_ID
FA0006898
FACILITY_NAME
RAMOS OIL-FRENCH CAMP
STREET_NUMBER
10842
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19333028
CURRENT_STATUS
02
SITE_LOCATION
10842 S HARLAN RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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7 DEL—TECH GEOTECHNICAL SUPPORT Laboratory Chain of Custody / 2006 <br /> 10624 OLIVE AVE. / OAKDALE,CA.95361 BILLING TO: <br /> (209)847-8757t (209)847-7744FAXIdeftechi@pacbell.net <br /> LEE&PIERCE <br /> PROJECT NAME: BENETO INC. 10842 HARLAN ROAD/FRENCH CAMP, CA m $ <br /> PROJECT I.D./GLOBAL I.D. # N w <br /> Sheet: 1 OF 1 mju m <br /> Client: LEE&PIERCE Report Attention: O w Ur N <br /> JOHN LANE Phone: (208)484-8312 a N w Z <br /> a ^ <br /> Address: 646 ABBOTT ST.SUITE 20 Project Name: 4TH.QTR.2006 FAX F �M :1 X . h- 0(831)788-1213 z it <br /> City,State,Zip SALIN , consultant m sOA RCE P.o.u JOHN m p �.o <br /> � m a w Nd Q III p Y <br /> Lab Use Only Sampling Info: <br /> Sampled Lab : C t7 9 X w zi w p ¢ w a o <br /> DEL-TECH ARGON z uj m m p <br /> sa•# T 'c Date .°_' , Ttmei;; o WO _ _ � 8 a o O LL <br /> Sam" ie DeSorj tion/Location °Safi ie`Container./ f� f� w w m <br /> - t 51A MW-1 4 V.O.A.'s/HCL•1 LTR.NEAT X X X X X $ <br /> I� () MW2 4V.O.A.'s/HCL-1 LTR.NEAT X X X X X $ <br /> 77 MW-3 4 V.O.A.'S/HCL-1 LTR.NEAT X X X X X $ <br /> QC Report Type:Level [ ]2 [ ]3 [ ]4 Formal COC Required:[ ] <br /> g nature Print Name. <br /> Received elpulahedby ' ="Date+.=. =.Tjme<:: <br /> Receive DEL-TECH GEOTECH. , <br /> R ce'ed eilquished by: /w� D. / N:7 ' <br /> Received I Rellquished by: <br /> Received/Reliquished by: <br /> SPECIAL INSTRUCTIONS / NOTES: <br />�—� io L.j L-1 LJ LI I L1 LI L.➢ it LI L] Zj Z—, <br />
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