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REMOVAL_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0542684
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REMOVAL_2019
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Entry Properties
Last modified
9/14/2020 8:12:30 AM
Creation date
9/9/2020 11:31:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2019
RECORD_ID
PR0542684
PE
2361
FACILITY_ID
FA0024559
FACILITY_NAME
CITY OF TRACY -NEW DISCOVERED TANK
STREET_NUMBER
729
Direction
N
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
729 N CENTRAL AVE
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <br /> Locaton: 2333 Shuttle Drive, Bldg 908/909, Atwater, CA 95301 Certificate No. 2480 <br /> Mailing Address: 2333 Shuttle Drive, Atwater, CA 95301 PAGE_LOF_J. <br /> Phone: 209 384-2930 - Fax: 209 384-1507 <br /> Customer: 7MJ~NWh. rim REQUESTED ANALYSES Method of Shipment: <br /> Address: 3 Si " -� lot <br /> City/State/ZIP: rff R 76LrM � . °w_ z Notes: <br /> O <br /> Phone / FAX: - Yi ' Z:b -- 311 S ^ Z7 'CZ3 w a m a = 4 Oo c - o <br /> Pro# / PO# /Global ID : ( 3 - o = m a <br /> Report Attention: < a9 o W Q v ir' n w <br /> a aCA <br /> 7 ' <br /> Sampler Signature: o - _ - <br /> E m _ Z <br /> Sam ler Printed : q w x o _ <br /> Lab ID# SAMPLE ID DATE TIME DESCRIPTION/LOCATION OBSERVATIONS/REMARKS <br /> otal number ocontainers <br /> S�gnature Printed Name Date Time Company Name submitted to the laboWory <br /> Relinquished by: "5a Q 15: aO &f <br /> jCA urn Around Time: <br /> Received by: 24 Hour <br /> Relinquished by: <br /> 48 Hour <br /> Received by: <br /> 3 Day <br /> Relinquished by: 5 Day (Normal) <br /> Received by: Special: <br />
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