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ARCHIVED REPORTS_XR0003273
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HOLLY
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20500
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3500 - Local Oversight Program
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PR0541264
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ARCHIVED REPORTS_XR0003273
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Entry Properties
Last modified
2/3/2020 8:44:11 PM
Creation date
2/3/2020 9:37:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003273
RECORD_ID
PR0541264
PE
3528
FACILITY_ID
FA0023641
FACILITY_NAME
FORMER HOLLY SUGAR FACILITY
STREET_NUMBER
20500
STREET_NAME
HOLLY
STREET_TYPE
DR
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
20500 HOLLY DR
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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&VIRONMENTAL • CHAIN <br /> OF CUSTODY <br /> QUAR,rERLY Laboratory Copy (I of 3) <br /> Client Spreckles Sugar Co TEST DESCRIPTIONS - See reverse side for Container, Preservative and Sampling information <br /> Address Spreckles Sugar Co <br /> Z' <br /> 0 Box 1287 f� <br /> Manteca, CA 95336 <br /> w c i <br /> Phone (209)835-3210 233 ui1 <br /> Fax 3-2795 <br /> LU <br /> Protect Name Monitoring cells <br /> N <br /> Contact person Anne Ogrey <� <br /> LU <br /> Purchase order Number r' i 1 �• <br /> OA/QC report re tred Yes No <br /> 1 ,� �. o <br /> s L3 <br /> Ssmpter(s) L{. � a � RE <br /> rEd <br /> Comp sampler setup Date /_/_ Time- o r <br /> i <br /> ED <br /> Rush Results Due By _/_/^ � a i x <br /> Date Received _/_/_ .�. .�. } t 1 <br /> v o <br /> Gcoo 0 <br /> Lab Number !�J2-8�/]D a 3 HOLLY SUCAR CO PORATION <br /> a o 0. w e a TRACY PUNT a <br /> Sairp Date Ttme Inc0 <br /> Nun Location/Description Sampled Sat►pled �. m <br /> 1 mw-Y4 6 z/- ,OOD I G G P 2 2 rn <br /> 2 MU l G GW 2 2 <br /> Mtsc Notes/. /K 4/ le [Q/ d7� J 5� Reit ed By Date Time Relinquished By Date Time Relinquished By Date Time <br /> Final Sample Dispostlon �ZJ �/O ���LI k ,"'tHED BY: Y. STARR <br /> Lab Disposal __/_/_ Returned to Client Received by Date Time R ved by D e I 17Fme R etved by Date TI e <br /> Meth of Disposal Date Ret /�f� 9r �� r i? `q <br /> SQ(g2rate Office&A LAbo A1= 4fIIc�fl►Lg4i2(eI� q[� q nn ✓�`j <br /> P d Box 272/853 Corporation Street 2500 SEaUurAsch Road ��� � f� 19J.7 Meld O ca <br /> Santa Paula CA 93061 0272 2500 St CA 95115 Visalia Callfomis <br /> SIOLTFI (HU,}f 5V U'l lf) TEL (559)734 9473 <br />
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