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ARCHIVED REPORTS_XR0012628
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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THOMSEN
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91
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3500 - Local Oversight Program
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PR0545726
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ARCHIVED REPORTS_XR0012628
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Entry Properties
Last modified
6/3/2020 1:54:10 PM
Creation date
6/3/2020 1:48:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012628
RECORD_ID
PR0545726
PE
3528
FACILITY_ID
FA0025895
FACILITY_NAME
QUARESMA PROPERTY
STREET_NUMBER
91
STREET_NAME
THOMSEN
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
91 THOMSEN RD
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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7046 Olive Drive,Suite 3 »M 916.753-9500 <br /> fY�9ryn Fnruar�n,mta, Davis,CA 95616 FAX#:976.753-6091. CHAIN-OF-CUSTODY RECORD AND ANALYSIS HEOUEST <br /> 5usnna r cnnmevr LAB#:916-757-4650 <br /> Project Manager:DmIO d Voli Asf-t—� Phone#; ANALYSIS REQUEST TAT <br /> U11,4 ItL4 -372 �1�3 `f <br /> ComPanY!Address:_go<Z .tir7�1 FAX#: W.f.T.lrf <br /> W <br /> CA- <br /> /! Z7Z &S7 TOTAL(e) <br /> L..!'t'" V 10 Y <br /> 4 3 <br /> Project Number: P.O.#: Project Name: a c <br /> ti . oZ Lci-illr,q <br /> 3 <br /> `o c <br /> Project Location: Sampler Signature: % m In <br /> 0 �^ m atwus <br /> © a w u a' U U <br /> sa ✓� dq i►1 , a <br /> n m W m m a n <br /> — H W m [] O O N Lu Er <br /> w w <br /> Sampling TContainer Method Matrix o o a m - o 0 0 0 0 0 0 `o i 3 a v ?" M o V I m <br /> Sample u Preserved s m " 4 w 4 m m m d J } . - a = L I Q <br /> j N r ¢ `A ¢ II O o 0 o ui d N N s a` 'It r 0 <br /> (❑ DATE TEME w a w w w x O = m a` v v w z <br /> < w O w z '' w w y n 6 a ¢ ¢ a c a ¢ a u n <br /> 0 � U z t7 Q ¢ p �- o. a n m a m a a a n. a ¢ o a d U4 1 Lu C <br /> 1 z ¢ — z � N m m www w w w w U ¢ V w U o w as <br /> W� Iz f1 r4;sS�. <br /> L✓Z- 11'10 1 J <br /> W Ia:zS <br /> i <br /> Relinquished by: Date Time_ _) Received by: Remarks: TAT �(�W <br /> it.??'91 /� <br /> -/e <br /> Relinquished Date Time Received by: <br /> iz-9-g std <br /> Relinquished by Date Time Received by Bill To: <br />
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