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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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EHD - Public
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ATC ASSOCIATES, INC. <br /> CHAIN OF CUSTODY <br /> Pro ect Information: Report To: Samples Submitted To: <br /> 'roject No: 64.19426.0001 Consultant: ATC Associates Inc. Laboratory: Argon Labs <br /> 'roject TRIe: TRACY TRUCK STOP Address: 1117 Lone Palm Avenue,Suite 201 Address: 2905 Railroad Ave <br /> .ocation: 3940 N.Tracy Blvd,Tracy,CA Modesto,California 95351 Ceres,CA 95307 <br /> Contact: Jeanne Homsey Contact: Hiram C. <br /> tampler's Name: John Sellman Phone: (209)579-2221 Phone: (209)561-9260 <br /> (print) Fax: (209)579-2225 Fax: (209)561-9262 <br /> iampler's Signature: Bill To: Date Results Required: <br /> Client: Same Date Report Required: <br /> Address: <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> (6 Day) (10 Day) vE' <br /> 71 F7 El F7 ® m w <br /> J <br /> y W <br /> LL Q <br /> O W ^ <br /> a <br /> S w K b <br /> mom COMMENTS <br /> Sam Ie ID. Date Time #Containers Matrix Preservative <br /> SB1-W 12101109 i- S water X X HCI <br /> SB2-W 12101/09 /1:7L, 5 water X X HCI <br /> SB3-W 12101109 4 5 water X X HCI <br /> r <br /> telinquishetlB : QAte/w �O Time:r�O ed By: at �N� Tim9:, ;�� SPECIAL INSTRUCTIONS: <br /> M—T.IIPr 1114 V uLr in 6) t1o4r&L,, kO <br /> lelinquishetl Date: Time: Received By: Date: Time: <br /> lGj 'S W 1/Ys'�`4a�-' 1`�_QGO- <br /> teiinquished By: Date: Time: Received By: Data: Tlme: A- F p <br />
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