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ARCHIVED REPORTS_XR0012638
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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TRACY
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3725
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2900 - Site Mitigation Program
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PR0528359
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ARCHIVED REPORTS_XR0012638
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Entry Properties
Last modified
5/8/2020 3:58:19 PM
Creation date
5/8/2020 2:53:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012638
RECORD_ID
PR0528359
PE
2950
FACILITY_ID
FA0019146
FACILITY_NAME
SHELL OIL PRODUCTS US
STREET_NUMBER
3725
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95304
APN
21217030
CURRENT_STATUS
02
SITE_LOCATION
3725 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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i <br /> i <br /> i <br /> MDelta j <br /> A Consartntsn,at Sample Identification/Field Chain Of Custody ConsutEanls,Ine. c dy ReCArd <br /> Project: 5�� <br /> Shipped by: W.O. <br /> Shipped 10: <br /> tlesulls to the attention of: <br /> Sampling <br /> laatnt j Location Semple No,al <br /> Field[D d Anal <br /> we/ our r,v pate Type Contalnera Required <br /> 2Arur.�. of •£s` Nar,�SrnS✓ ��� <br /> d s[ .f(�.►r r< far r� <br /> �jfv 3f duel/ /ri cr .vrer /L G�8"90 wr¢�rr- /JTL�c Tf'r/ <br /> �0 x''28•r/� 6s.A�rr -� TFX T�iy <br /> �r <br /> i <br /> Samplar(s)(signature) y/ � -- <br /> FI•EdlD <br /> Relinquished by:(elgneturo) i R <br /> :( 4nePure) Detelflme <br /> Comments <br /> i <br /> Saaled for shipment by:(signature) <br /> ` Date/time <br /> Comments: 5hfpmn <br /> et method: <br /> // -- <br /> ��� CCl'V�iJG �J�NSGN SX"�� • <br /> 00 <br /> /�vlc 20 <br /> .ctc .lila .' S ,� . •€ <br /> R3celving UbGratory:Please return original form after signing for receipt of Sami a <br /> i <br /> i <br /> I <br />
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