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COMPLIANCE INFO_CASE 1
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0539479
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COMPLIANCE INFO_CASE 1
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Entry Properties
Last modified
7/2/2020 11:06:03 AM
Creation date
7/2/2020 9:44:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
FileName_PostFix
CASE 1
RECORD_ID
PR0539479
PE
2950
FACILITY_ID
FA0022575
FACILITY_NAME
THORNTON DEHYDRATOR STATION
STREET_NUMBER
29008
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
RD
City
THORNTON
Zip
95686
CURRENT_STATUS
01
SITE_LOCATION
29008 N THORNTON RD
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Ship To: F.-I-1-11:*,'.'('.,.)MA L A 13 F 1 L E it 1. J. C*. <br /> CHAIN OF CUSTODY RECORD 22-S'i On,eg, IVY 0 R D T-R .1-1. PJ6 (OPacific Gas & Electric Company CA ;0 <br /> 3400 Crow Canyon Road, San Ramon, California 94583 <br /> -2000 Attention . 766 <br /> (510)820 prkJO) 7,88 Page of <br /> Job Number: Project Name: Project Manager: <br /> 2)e-il!l Ltftf — *141=14LA <br /> Samplers: Olatures) J�00 Field Team Leader: - I& <br /> lo- [21tkywil ' .\Ar <br /> SAMPLE SAMPLE NO. <br /> NUMBER DATE TIME TYPE SAMPLE INFORMATION OF REMARKS <br /> 2.d) Pr '1,V9 SOIL 15,U F- <br /> ts—& sa) '34-1.2 ZV6 4-77,41- --7u-AAJ <br /> R:=1inque By,(Signature) DateMme: Received By:(Signature) Dale(T,me Shp Via: <br /> Relinquished By:(Signature) DateMme: Received By:(Signature) Date/Time: <br /> BUAirbill Number: Dail <br /> Relinquished By:(Signature) DateMme: Received By.(Signature) Date/Time <br /> DISTRIBUTION: Original Accompanies Shipment;Canary Copy to PG&E;Pink-Sample NOTE: Samples are discarded 30 days after results are reporlod unless other arrangernenls are made. 60006997/GI/TI97 <br />
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