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WORK PLANS
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EHD Program Facility Records by Street Name
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T
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12 (STATE ROUTE 12)
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20913
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2900 - Site Mitigation Program
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PR0545720
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Entry Properties
Last modified
11/19/2024 3:48:22 PM
Creation date
6/12/2020 11:34:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0545720
PE
2952
FACILITY_ID
FA0005524
FACILITY_NAME
A TEICHERT & SON INC
STREET_NUMBER
20913
Direction
E
STREET_NAME
STATE ROUTE 12
City
CLEMENTS
Zip
95812
CURRENT_STATUS
02
SITE_LOCATION
20913 E HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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CMMTJ&CE ANALYTICAL LAB0RAT0RiE6 <br /> Field Sampling Log <br /> Project Name (4( S6-l� <br /> Projeti. Number <br /> Sampling Location <br /> Contact person ' Phone <br /> Sample I.D. Matrix Type of Container No. Field Data/Notes <br /> � r Z <br /> Site Diagram, (IncludeComnass Bearing) <br /> . <br /> g <br /> Date: - y-y/ <br /> Time Depart.: a <br /> Time Return:_(f <br /> Mileage: <br /> Sampling Method:- bW -jul -7 <br /> Remarks: �I T <br /> .G`la o <br /> Lruje <br /> Sampl4erlgnature Date <br /> 3011 KILGORE ROAD #110 • RANCH0-CORDOVA-,,-C-A 95742 -- -PHONE-(9iG) 635.995£--+--FAX 1916Y@35.9331 <br />
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