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ARCHIVED REPORTS_XR0008313
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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TOM PAINE
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18775
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2900 - Site Mitigation Program
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PR0004367
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ARCHIVED REPORTS_XR0008313
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Entry Properties
Last modified
5/7/2020 4:04:42 PM
Creation date
5/7/2020 3:50:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008313
RECORD_ID
PR0004367
PE
2951
FACILITY_ID
FA0004052
FACILITY_NAME
FARM UGT
STREET_NUMBER
18775
Direction
S
STREET_NAME
TOM PAINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21302030
CURRENT_STATUS
02
SITE_LOCATION
18775 S TOM PAINE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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LSauers
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EHD - Public
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0i <br /> 0 John P. Cummings & Associates <br /> Environmental Consultants <br /> CHAIN OF CUSTODY Po Box 2847 <br /> Ph 1510) 505 0722 Fremont, CA 94536 2847 <br /> Laboratory: �, Fax (510) 791 3306 <br /> 110 2nd Avenue South D-7 _ <br /> Pacheco, CA 94553 Contact: j.h. v _-I OPM Sampler: <br /> r!Xr x-798-1620 Protect Name: No. <br /> Zd <br /> Contact: Rate: 3— jdj <br /> / <br /> Analyses Requested <br /> e y 1 v{ exs. <br /> NIC O O O q <br /> tiON �+ `eb tp 4b 'JO <br /> �r 1 <br /> All I <br /> Sample I.D. Date/Time Matrix Container Labq'Z` ,�4 'boO <br /> Sampled Desc. No, of ,Type •� <br /> . �.�-�'r � ,�� 13 ISM �'z' �a I � l►�� x � � <br /> r C - <br /> 2. ✓ <br /> 3. <br /> 4. <br /> 5. MIZ / a <br /> K� <br /> n <br /> r <br /> ( <br /> Relinquished by: Date: ' I Time:# 55 ' Received by: � xo Z�� Date: L//S',/1 Time: <br /> laelinqulshed b Z �� Date: � Time; r Received by; �. , Data: y�s/j Tyne:/,� 5� <br /> Relinquished by: Date: Time: Received by: Date; Time: <br /> I.Ar MEMO!Iffiffil me <br /> Turnaround Time: ;vt.,-ea IMP�i PAMATIONagOn _ <br /> Additional H-r, 0 .,' OPRIATE '� n <br /> Comments: Page L� <br />
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