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ARCHIVED REPORTS_XR0004476
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LARCH
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425
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2900 - Site Mitigation Program
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PR0541913
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ARCHIVED REPORTS_XR0004476
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Entry Properties
Last modified
2/13/2020 4:24:00 PM
Creation date
2/13/2020 1:49:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004476
RECORD_ID
PR0541913
PE
2960
FACILITY_ID
FA0024043
FACILITY_NAME
FRONTIER TRANSPORTATION FACILITY
STREET_NUMBER
425
STREET_NAME
LARCH
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
21220009
CURRENT_STATUS
01
SITE_LOCATION
425 LARCH RD
P_LOCATION
03
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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tow 11IN■■■ 11111111WIl 111IM1111 �111 <br /> &AIN OF CUSTODY RECORD ` SHEROOOD LABS <br /> Po Box 937 <br /> Sherwood P 01 Box 937er Revenue HILMAR, C11 95324 <br /> Hilmar, California 95324 <br /> Labs (209) 667-525$ AttentLow, Phone <br /> C OR P OR A T r ON FAX (209) 667-2581 VICKI RUBISR7A Page of <br /> Job Number POAProtect Name i� <br /> BLAKELY FRQNTIER TRUCK <br /> Samplers (Signature) Site Address P�� tyre <br /> SAMPLE SAMPLE NO <br /> NUMBER DATE TIME TYPE SAMPLE INFORMATION OF �0 REMARKS <br /> CNTRS <br /> MW-7 0/07 41 <br /> MW-10 <br /> MW-5 i- 7 y <br /> MW-11 it r <br /> J <br /> MW-9 � r <br /> MW-12 �o r <br /> mw-4 <br /> MW-2 f <br /> MW-3R c �' <br /> MW-13 <br /> MW-8 <br /> MW-1 <br /> F)elAwshedSr( tore, DatelTime d9,�5- "red ey c�gnature?. Daterri c-yam- Stop Via <br /> S <br /> By-cSrgnmrer: Datelrow f � t <br /> t o ) TU MAROUND TIME <br /> rrqjWmd$r(&pa +«r Mme ❑24-HR 0 4"R ❑5-DA D 1aDAY <br /> DISTRfflWl 101*OrWW-Accompardes S! nrer* CanaryCopy-Wwwood Pir*-S&npiw Samples are dibearded 30 days atter r are reported urrtass ottrar arranperr+er+taate made <br />
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