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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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3940
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3500 - Local Oversight Program
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PR0545740
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Last modified
6/8/2020 12:28:53 PM
Creation date
6/8/2020 12:24:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545740
PE
3528
FACILITY_ID
FA0008057
FACILITY_NAME
TRACY TRUCK AND AUTO STOP
STREET_NUMBER
3940
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95304
APN
21220004
CURRENT_STATUS
02
SITE_LOCATION
3940 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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LSauers
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EHD - Public
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ATC ASSOCIATES, INC. <br /> CHAIN OF CUSTODY <br /> Project Information: Report To: Samples Submitted To: <br /> Project No: 50.39626.0001 Consultant: ATC Associates Inc. Laboratory: Argon Laos <br /> Project Title: TRACY TRUCK STOP Address: 1117 Lone Palm Avenue,Suite 201 Address: 2905 Railroad Ave <br /> Location: 3940 N.Tracy Blvd,Tracy,CA Modesto,California 95351 Ceres,CA 95307 <br /> Contact: Jeanne Homsey Contact: Hiram C. <br /> Samplers Name: John Sellman Phone: (209)579-2221 Phone: (209)581-9280 <br /> (print) Fax: (209)579-2225 Fes' (209)581-9282 <br /> Sampler's Signature: Bill To: Date Results Required: <br /> Client: Same Date Report Required: <br /> Address: <br /> TURN AROUND TIME ANALYSIS <br /> RISK 24 Hour 48 Hour Standard Special E <br /> (5 Day) (II10 Day) s <br /> 1-1 F7 [--1 ❑ u J <br /> W <br /> N <br /> W <br /> O <br /> S <br /> r COMMENTS <br /> Sam Ie ID. Data Time 0Conbuners Matrix Preservative <br /> 5151 - 12/0109 2'L 1 soil x <br /> 12101/09 y N 1 soil X <br /> —r`t r 72101109 i� 0 1 soil X <br /> Relinquished BY: �:��o�t, Ti,]4..,C) ad By: Time�l�� SP aI INSTRUCTIONS! )c� <br /> Relinquish By: Data: Time: Received By: Date: Time: <br /> F u r"lk� <br /> Relinquished By: Date: Time: Received By: Date: Time: <br />
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