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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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TRACY
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2480
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2900 - Site Mitigation Program
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PR0506159
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Last modified
5/8/2020 9:47:20 AM
Creation date
5/8/2020 9:35:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0506159
PE
2950
FACILITY_ID
FA0007237
FACILITY_NAME
TRACY EXPRESS WASH & LUBE
STREET_NUMBER
2480
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21449002
CURRENT_STATUS
02
SITE_LOCATION
2480 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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r s* r w M <br /> HF WHF, INC. <br /> Post Orrice Box 427 <br /> Oakdale,CA 95361 <br /> CHAIN OF CUSTODY R ORD (209)848-4280 <br /> Project Name: <br /> Van Bebber Property <br /> 2480 Nth Tracy Blvd. , 1racy, California Number Qs v <br /> Saa <br /> s(signature): !� of REMARKS <br /> - C 4 \ <br /> s5- IJV ,� Containers <br /> StionCL <br /> Number Dale Time o Station Location <br /> v <br /> 1 2/1/9 /W15 XX <br /> 2 1 y / XX RSP-4 1 <br /> 3 14120 XX RSP-5 1 COMPOSITE SAMPLES INTO <br /> 4 )LI123 XX RSP-6 ONE (1) LAB SAMPLE. <br /> 5 q:Z�. XX RSP-7 1 <br /> FAX WHEN ANALYEES ARE <br /> FINISHED. j <br /> e by(signam� Date I Time Receia Rel e t atom): Date / Time Received by(st amre)/: <br /> �} r �G � <br /> Company Sr Agzy: �`JIO/ l {��l co, enc or gency: /�^ Company or Agency: moi' <br /> vV —� 0 J(/ / <br /> Relinquished by signature): Dale / Time Received by(signature): Relinquished by(signature): Date / Time Received by(signature): <br /> Company or Agency: Company or Agency: Company or Agency: Company or Agency: <br /> Relinquished by(signature): Date / Time Received by(signature): Date / Tunic Remarks/Shipping Information <br /> Company or Agency: Company or Agency: <br />
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