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ARCHIVED REPORTS XR0013118
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ELEVENTH
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1755
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2900 - Site Mitigation Program
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PR0515454
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ARCHIVED REPORTS XR0013118
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Entry Properties
Last modified
11/19/2024 10:19:10 AM
Creation date
12/14/2018 4:56:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0013118
RECORD_ID
PR0515454
PE
2960
FACILITY_ID
FA0012157
FACILITY_NAME
POMBO REAL ESTATE
STREET_NUMBER
1755
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23217020
CURRENT_STATUS
01
SITE_LOCATION
1755 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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TMorelli
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EHD - Public
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CHAIN-OF-CUSTODY RECORD N° 12894 Date: 23 `I� " z X98-'2 of <br /> 2 <br /> project Na.: 6( GD ANALYSES - REMARKS <br /> Samplers(Signatures): o �; o " <br /> Additional Comments <br /> lMnaeL U,hP-'e0� � v u m� _s` <br /> % <br /> y S*r� I`lo'�PS eh pag4.. <br /> 1 ` e <br /> Date Time Semple Number w w w m w w y c _.IF <br /> S [ •7 C� p,G11 I 06���� <br /> 1 �4- <br /> / <br /> -------- ---- -- -- -# <br /> Y <br /> Tumaround time: Results lo: <br /> 2 -Am I Pevi Total No.of containers: <br /> Relinquished by(signature): Dale: Relinquished by(signature): Date: Relinquished by(signature): Date: Method of Shipment: <br /> 12�47 �� ex <br /> Printed N e:UK Time: Printed Name: Time: Printed Name: Time: Laboratory Comments and Log No.: <br /> efsfRd IV6 <br /> Com any: Company. Company: _ <br /> 0. 1 <br /> R by(signature Date: Received by(signature): Date: Received by(signature): Date: <br /> Pooled Name: �4 Time: Printed Name: Time: Prin'ed Awe 9'r Time: <br /> SGeometriX ConaulEenta <br /> ComP.an : Company: Company:,:.. .�(.}'. 1001 Srree[,10N Flaar <br /> AEOMATRIX San FIgIICISEa,DBlfpmla J4111 <br /> 4754349400 , <br /> vwms(vvleti IneVbea rf,551 <br />
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