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COMPLIANCE INFO_1999
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231898
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COMPLIANCE INFO_1999
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Last modified
6/9/2020 8:21:13 PM
Creation date
6/3/2020 9:43:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1999
RECORD_ID
PR0231898
PE
2332
FACILITY_ID
FA0003966
FACILITY_NAME
SHARPE SITE/DEF LOG AGENCY
STREET_NUMBER
850
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19802001
CURRENT_STATUS
02
SITE_LOCATION
850 E ROTH RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2332_PR0231898_850 E ROTH_1999.tif
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EHD - Public
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�-7 <br /> PI f-ZY <br /> � . <br /> ® <br /> North tat EnvironmentalAnalytical !_ oratory ° <br /> ' ro <br /> 90 South Spruce Avenue, Suite W, South San Francisco, CA 94080 Chain of Custody/Request for Analysis <br /> Phone: (650) 266- 63 Fax: (650) 266-4560 Lab Job No,: Pale of CO <br /> 45 <br /> Cirent �'� C Re to' /-(At L A s� �P Phon �j�7Jr - 6 Turnaround Time M <br /> Maibn Address Billing ®XXAjC 0 Fa D 6 4t D� !1/o�^rh I N <br /> // { r P&ct boa PO#/Billing Reference : bate: 1 Z _30 98 <br /> ��s �sbr tJf I)Ct 571 Sampler: <br /> Project l Site Address: U ST "Ola Ik" 3 5"C'/IK S CAi <br /> �}Anjays <br /> S k A v- 1'M P6 h'O/C00"/ A;g fested • <br /> Sample iD Sample Container Pres. Sarttpiing Comments/Hazards <br /> Tye N®.!Typo Date!Tim® , <br /> + SoukaaiL z: aM70 <br /> AMU <br /> JUAN I <br /> ,. <br /> Relinqursh y: Date: e: �° 5SReceived by: Lab Comments <br /> r Relinquished by. Date: ane: j Received by. <br /> N - <br /> '� Relinquished by- 0Date: 9 ime: deceived by: <br /> r <br /> G <br /> 0 <br />
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