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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SCHULTE
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16900
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2200 - Hazardous Waste Program
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PR0507054
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COMPLIANCE INFO
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Entry Properties
Last modified
6/2/2020 1:27:55 PM
Creation date
4/27/2020 12:24:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0507054
PE
2229
FACILITY_ID
FA0007697
FACILITY_NAME
SAFEWAY DISTRIBUTION CENTER
STREET_NUMBER
16900
Direction
W
STREET_NAME
SCHULTE
STREET_TYPE
RD
City
TRACY
Zip
95377
APN
20943001
CURRENT_STATUS
01
SITE_LOCATION
16900 W SCHULTE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2229_PR0507054_16900 W SCHULTE_.tif
Tags
EHD - Public
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CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <br /> Location: 2333 Shuttle Drive, Bldg 908/909, Atwater,CA 95301 Certificate No.2480 r <br /> Mailing Address:2333 Shuttle Drive,Atwater,CA 95301 PAGE_�__OF / <br /> Phone:(209)384-2930 - Fax:(209)384-1507 <br /> Customer: 1 ex—�, REQUESTED ANALYSES Method of Shipment: <br /> Address: C +�� W <br /> a <br /> � a' s o � W <br /> City/State/ZIP: S 3 m a c a W F Notes: <br /> Phone/FAX: - - 33- a W a o r;m •�t id� +4 1 � <br /> Proj#/P.O.#: z• #1 t� y a c a m w p o LL <br /> Report Attention: 1 k" a a "2 0- w 00 <br /> g m <br /> Sampler Signature: . z m a W <br /> v 7 W Q pd <br /> Printed: h tf 1 5}-c ne t 1 V�- z <br /> t_ab ID# SAMPLE ID DATE TIME DESCRIPTION/LOCATION w OBSERVATIONS/REMARKS <br /> j- <br /> .. ; + <br /> L <br /> MIA <br /> ff <br /> ';R <br /> ota nurnher of containers su mitten <br /> t �i Od the laboratoryx. . <br /> Relinquished ris t/6— A 3 Note:All special requests(e.g. <br /> quick red <br /> Received by. L' through authorized laboratory <br /> Relinquish personnel. <br /> eceived by: <br /> Relinquished by: =RESULTSEReceived by: L WRITTEN <br />
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