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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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19501
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2900 - Site Mitigation Program
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PR0545628
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
11/19/2024 1:57:05 PM
Creation date
4/28/2020 4:50:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545628
PE
3528
FACILITY_ID
FA0004738
FACILITY_NAME
LES CALKINS TRUCKING INC
STREET_NUMBER
19501
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
APN
01321051
CURRENT_STATUS
02
SITE_LOCATION
19501 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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WYi1,we,.e.d 6eO�t% � rn � InCCHAIN OF CUSTODY RECORD <br /> Date ••�S J page of v �$ <br /> ErlY�in�a Ptil��siiar,�,Es .• t <br /> 100:3 Weat Marcr+lane,OWN A•Sloaiiton,Callfomla-93201•(209)95e•0264 <br /> 3 � <br /> Client G►�Krri f Pro)W Mana et,b Marr Tests Requtr+ed <br /> Phone Number a <br /> 67 /_' w <br /> - -Sampiers,(Signature) - - I <br /> �i � IkaeeA�+� qer <br /> Project NameLloz� (lent 0 <br /> Sample. Location Sample Type , R <br /> NumberDescrfptian Date Time Water Air Solid No. ofComa. / Notes <br /> camp. Arab. <br /> Cr <br /> SPI•z - 2 :os , 1728 <br /> sp 2- 1 -*c k to 2 ! r lD t <br /> SPZ-2. 2. <br /> 1 , <br /> ., <br /> SPZ• �# - s' � 51 i3Q ;� G <br /> 3� � t <br /> e nqu z +� ure y: 9na u . aHlTlme <br /> eiinqul a y;)greealure) ' <br /> calved 6y:(Si9natu e) ��� �� OatelrMwe <br /> elinqu s ed by:(5i9nalurel Recelved by Mobile Laboratory for Reba analylia:(819nelure) DOWTlme <br /> Dispatched by: )Signatutey l)atelifine - Ioce ved for Labofatocy y; - Datelfw* <br /> Malhad of Shipment: Laberatory Name <br /> .psi; •;,. , .• T S'�. �...�l'� � <br /> 6peeial lnelructloaa: 1 hereby authorlre the perlorrnance of the above Indtee19d work. <br /> CJ r eie., <br /> HEAD' <br /> SPACEABSCON MS.- ��� <br />
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