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COVEWFWP8
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ROTH
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2500 – Emergency Response Program
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COVEWFWP8
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Entry Properties
Last modified
9/24/2025 2:22:33 PM
Creation date
9/24/2025 12:37:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COVEWFWP8
PE
2546 - Release/Spill Response (excluding Joint Team)
STREET_NUMBER
1000
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
APN
19820005
ENTERED_DATE
11/10/2019 12:00:00 AM
CURRENT_STATUS
Referred
SITE_LOCATION
1000 ROTH RD
RECEIVED_DATE
11/10/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\bmascaro
Supplemental fields
Site Address
1000 ROTH RD FRENCH CAMP 95231
Tags
EHD - Public
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Document Name: Document Revised:13Feb2018 <br /> �r Regulated Soil Checklist Page 2 of 2 <br /> PaceAnalyticai Document No.: <br /> Issuing Authority: <br /> F-MN-Q-338-Rev.06 Pace Minnesota Quality Office <br /> To Be Completed by PM and/or PC: <br /> Sample Analysis to be conducted(circle all that apply): MN X Subcontract Lab <br /> Name of Subcontract Lab(s): <br /> REQUIREMENT ACTION COMPLETED <br /> Permission to ship untreated soil must be Go to:J:\SHARE\PRJ_MGR\10_Client Services Department <br /> on file prior to shipping to any subcontract Documents\Regulated Soils Permits—if permission to ship letter is YES NO N/AX <br /> lab,including IR Pace Labs. not there,contact the Waste Coordinator. <br /> Shipment must include a valid copy of the Is a copy of all needed paperwork included with the COC? Do NOT <br /> receiving lab's permit as well as permission ship samples until all necessary paperwork is compiled. YES NO N/AX <br /> to ship letter. <br /> Comments: <br /> Project Manager Signature: Date: 11/12/19 <br /> i <br /> i <br /> Page 16 of 16 <br />
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