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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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V
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VIA NICOLO
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17950
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4200 – Liquid Waste Program
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PR0521836
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** PLEASE CHECK LOOKUP - if good, then Approve QCStatus, else update with correct RECORD_ID
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Entry Properties
Last modified
10/21/2024 4:15:18 PM
Creation date
12/31/2020 8:17:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
PR0521836
PE
4232 - ALT/ENG OWTS - ANNUAL PERMIT - Full Permit
FACILITY_ID
FA0002971
FACILITY_NAME
MUSCO FAMILY OLIVE CO
STREET_NUMBER
17950
Direction
W
STREET_NAME
VIA NICOLO
City
TRACY
Zip
95377
APN
20911032
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
Site Address
17950 W VIA NICOLO TRACY 95377
Tags
EHD - Public
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CHAIN OF CUSTODY <br /> Quarterly www rgUnc,com <br /> Laboratory Copy (1 of 3) <br /> 33273:05/04/2016 TEST DESCRIPTION - See Reverse side for Container,Preservative and Sampling information <br /> Client:. Masco Family Olive Environmental <br /> Address: Atm:Amanda Devlin <br /> 17950 Via Nicolo a <br /> Tracy.CA 95377 <br /> _ B � <br /> Phone: (209)8364600 Fax: (209)836-0853 3 R <br /> a <br /> Contact Person: Amanda Devlin v <br /> ,"� a x <br /> Project Name: a �? ' v� <br /> Leach Line Monitoring y a t: <br /> W) <br /> Purchase Order Number: C7 w 3 E F: F-1 <br /> Quote Number: U w ti F °O <br /> Sam r(s) E o <br /> D e� z sg <br /> Sampling Fee: Pickup Fee: a a° O n raid A N <br /> _ e u Cis O a <br /> Compositor Setup Date:—/_/ Time: / n v ° 5 a'5 A W <br /> -- E a z o a z a N <br /> cn E v� v, <br /> Lab Number: STK 3-11544 o rn a8 A .. E `"' F <br /> Sam a in <br /> U•9Location Description uo O`8 OeNum Sampled Sampled 3 O �N <br /> Date Time -E log <br /> I L-I 1077,T V G WW 1 1,1,1,1 2 <br /> 2 L-2 16A IT G WW 1 1,1,1,1 2 <br /> 3 L-3 /� L G WW 1 1,1,1,1 2 <br /> Remarks: eli uishDate: Time: Relin uished Da;e: Time: Relinquished Date: Time: <br /> Received By: / a Time: Date: Time: Received By: Date: Time: <br /> CMZJA b ( � o fix' <br /> Corporate Offices&Laboratory Office 8 Laboratory Office A Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 —C San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-581 t I ( Phone:(805)783-2940 Phone:(559)734-9473 <br /> Env Fax:(805)525-4172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 1 Fax:(805)783-2912 Fax:(559)734-8435 <br />
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