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ARCHIVED REPORTS XR0000966
Environmental Health - Public
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EHD Program Facility Records by Street Name
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B
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BUSINESS LOOP 205
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5157
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3500 - Local Oversight Program
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PR0544135
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ARCHIVED REPORTS XR0000966
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Entry Properties
Last modified
2/12/2019 11:01:16 AM
Creation date
2/12/2019 10:11:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000966
RECORD_ID
PR0544135
PE
3528
FACILITY_ID
FA0005488
FACILITY_NAME
STRONG, RUTH
STREET_NUMBER
5157
Direction
W
STREET_NAME
BUSINESS LOOP 205
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
5157 W BUSINESS LOOP 205
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Advanced CHAIN OF CUSTODY RECORD: <br /> GeoEnvironmental, Inc. 4-;1 DateN Z> Page of J- <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fa)&09)467-1118 <br /> Ox Pro'ect Manager Tests.Required <br /> �J <br /> Phone Number <br /> Samplers: (Signature) Invoice: <br /> Project Namet AGE k <br /> Client 0 <br /> Sample Type <br /> Sample Location No. of <br /> Number Description Date Time Water I Solid Notes <br /> Comp,7c,,—b.-I Air coats. <br /> ;K, 14 1 CrQ-2g <br /> 46124 <br /> 1% 461Z5 f. <br /> ti <br /> 46 <br /> 126 1: <br /> 127 <br /> �c 46 <br /> (01 46128 is <br /> - 46129 <br /> Helinquishe by: (SignatittTe) ace Vea Signature) UAL]Ulff <br /> acev <br /> :C ad <br /> CEAK %000 PRFURVATION VUV7- <br /> RwMq-uTs-ff-ed by"TSTgn-ature) 0 ad ffiaturle Date-Mme' <br /> b y-: �7 <br /> GOOD F01,10—IT101 1E t/ <br /> Relinquished by: (Signature} the Ve*6, W(WIVVIV field analysis: (Signature) <br /> DaterTime <br /> Dispatched by: (Signature) Date/Time I Racqlvld for 1-9boratOy Date rime <br /> M thod Of Shipment: a baratoff Marne it <br /> -b.r.t <br /> -C A <br /> W pr�jl C7 WAS=O&GMETALS OTHER <br /> Special instructions: futile Vhereby <br /> the performance of the above Indicated work. <br /> GOOD001,01110IN ✓ APPROBATE <br /> HEAD SPACE ABStENT—V—" CONTAINERS—i(L <br />
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