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ARCHIVED REPORTS_XR0003274
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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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_XR0003274
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Entry Properties
Last modified
2/3/2020 8:57:35 PM
Creation date
2/3/2020 9:37:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003274
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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atdf Fo` s ,D� <br /> EIVIRONMEN 1r W - �CnAIn OF CUSTODY <br /> QUARTERLY Laboratory Copy (1 of 3) <br /> Ch ent Spreckles Sugar Co TEST DESCRIPTIONS - See reverse side for Container, Preservative and Sampling information <br /> Address Spreckles sugar Co <br /> P 0 Box 1287 <br /> Manteca, CA 95336 *� <br /> w <br /> Phone (209)B35-3210 233 y <br /> Fax 3-2795 y y <br /> a y <br /> Project Name Monitoring wellsLU <br /> Contact person Anne Ogrey <br /> Purchase Order Number <br /> QA/QC report required Yes N <br /> S " D <br /> Samplers) 7 w a° z `a <br /> � o <br /> z rn <br /> Comp sampler setup Date ^/_/_ Time <br /> -. U U U <br /> Rush Results Due By. <br /> ILI <br /> >C o <br /> vDate Received O E E E <br /> ro <br /> 0 Lab Number `J° ° dC <br /> Co <br /> Date Time o oSamp U < <br /> ouy <br /> �%- a- <br /> Num Location/Description Sampled Sampled m ° w y <br /> 1 Mw-V - Ia. G GWN 2 2 . , 3 <br /> 2 Mu-x �r G GWNr 2 V, 2 <br /> Misc Notes Wt l/ /f S d e c&4 Relin By Date Time Relinquished By Date Time Relinquished By Date Time <br /> /fi7`,S C�� cS'O 20 c�ec� � �/Z_ � � � ... <br /> Final Sample Dispostion 2 SIC <br /> Lab Disposal Returned to Cl�nt Rece d / Dae Time Received by ' u l u _Date+:-!�T3im ec ved Date Time t <br /> Meth of Disposal Date Ret _ <br /> F <br /> s Corporate Offices&Laboratory NC - Office and Labora_ Ior Field Office <br /> P O Bax 2721853 Cor anion Street �T G`�un GJd��l `5° 2500 Slagecoac ^ �d �J' S u Vrsal a Cal <br /> San <br /> TELLa Patila CA(805)659 09300 G� TELStoc on CA 9�(209)9 2 Mob 7 2399 <br />� a �,✓�-� � UEC 2 9 ���� c } '7.1 <br /> FAX (805)525 4172 FAX (209)942 0421 <br />
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