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EHD Program Facility Records by Street Name
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HOLLY
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2421
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3500 - Local Oversight Program
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PR0545285
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Entry Properties
Last modified
2/3/2020 12:37:25 PM
Creation date
2/3/2020 11:47:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0545285
PE
3528
FACILITY_ID
FA0006068
FACILITY_NAME
PALADIN MILEAGE CENTER
STREET_NUMBER
2421
STREET_NAME
HOLLY
STREET_TYPE
DR
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
2421 HOLLY DR
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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ATC ASSOCIATES, INC. <br /> CHAIN OF CUSTODY <br /> Project Information: Report To; <br /> Samples Submitted To: <br /> Project No: �, 1 D Consultant: ATC Associates Inc, Laboratory:� ry: Argon labs <br /> Project Title: � ! p 5 TCI Address: 1117 Lone Palm Avenue,Suite B Address: 3037 511 Street <br /> Location:Tri C-1., U Modesto,California 95351 Ceres,CA 95307 <br /> C� Contact: Contact: <br /> Sampler's(tame: <br /> Phone: 209 1 <br /> 579-2221 Phone: (209)589280 <br /> 1 <br /> (print) .+All 11; 10 � Fax: (209)579-2225 Fax: (209)581-9282 <br /> Sampler's Signature: +c{. Bill To: Dale Results Required: <br /> Cllent: Same Date Report Required: <br /> Address: <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special -F <br /> (5 Day) (10 Day) N <br /> O 0 D [� W m N <br /> m <br /> � � a <br /> r~A aNi O u m <br /> rp m m J <br /> x d a m '.9 <br /> d W N n o <br /> COMMENTS <br /> Sample ID. Date Time #Containers M11at�_rixPreservative <br /> I <br /> Relinq a By: Date: Time: Receivy' BY' Date: Time; SPECIAL INSTRUCTIONS: <br /> Relin /shed By: Date: Time: Received By: Date: Time; <br /> Relinquished By: Date: Time: Received By: Dale: Time: <br />
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