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ARCHIVED REPORTS XR0000774
Environmental Health - Public
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EHD Program Facility Records by Street Name
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CAMBRIDGE
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16470
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3500 - Local Oversight Program
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PR0544155
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ARCHIVED REPORTS XR0000774
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Entry Properties
Last modified
2/15/2019 5:09:30 PM
Creation date
2/15/2019 2:12:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000774
RECORD_ID
PR0544155
PE
3526
FACILITY_ID
FA0000185
FACILITY_NAME
CITY GAS & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
02
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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4 ,� ❑885 Jarvis Drive• Morgan Hill,CA 95437• (408) 776-19600- FAX(408) 782-6308 <br /> 819 Striker Ave,Suite S- Sacramento,CA 95834 a (916)921-9604- FAX(916)1221-0100 <br /> ❑404 N Wfget Lane-Walnut Greek,CA 94598 - (925) 988-9600 - rAX(925)980-9673 <br /> TO"'I'Sco p 1455 McDowell Blvd !North, Suite D- Petaluma,CA 94954- (707) 792-1065 - FAX (707)792.03,42 <br /> Cj 1551 Industrial Road - San Carlos.CA 94070 - (650) 232-9890• FAX (650) 232-9612 <br /> Consultant Company. t-:c,jlL U INt_Iry VALuL;4 S' r— Tosco Engineer <br /> Address 3a) Gt U, orz,-i- 12-6 So I TCa c Site N 1705- <br /> city- <br /> ars -City-eepw.%% CC4xOWfV State,C-,.* Z1p Code• cj5x+7 SbAddress I/, �? cA,,A6tL6e r S •r <br /> Telephone [Iiia] gu-ayoo Fax# (474 g-6j-- 45<f3D City,State. L4,�iLa,P I CA' _ <br /> Report To y � Sampler- -T�+.„ A ^ 00 Data Level D (Standard) a level C p Level B p level A <br /> Twnaround )d 10 Work Oat's ❑ 6 Wort Days t7 3 Work Days ❑ Drinking Water Analyses Requested � <br /> TimiD. ❑ 2 Work Days CI 1 Wont Day ❑ 2 8 Hours ❑ Waste Water �1 <br /> ariler � ate`'% kN . � <br /> Project Coding, ,� � �V'�% ��` N <br /> Client Date>Tme Malrlx 4 of Cont Sequoia"s �Q � � o �G � Comments <br /> Sample 10. Sampled Desc. Cont Type Samplra <br /> 11.C�-+-5� fSlu� 0,75 fiott- <br /> � __ rater <br />' 12 �i4-l`fl� late � r � �a�e�n�+�+.. <br /> LO <br /> 3 63 01-1_ ANA I�L 0 tti L M-AM cxkO% <br /> 4. <br /> 6 !o' t2� <br /> 7 C7P-4- S' 13O':r �' .S. t — 'A — <br /> 6. <br /> A - ' <br /> 10yp� S-Io 1Y00LU <br /> y,- 3 <br /> jr'f/ ti Dat© 6100 Time Y <br /> Relinquished By <br /> Time ��� Received B . Date�6�-�2 Trna f�s� � <br /> lip Relinquished By Dateke,*z. Arno 73S' Received t3 Rate. Time <br /> Relinquished By., Date' Ttrne Received By Date: Time: <br /> Ito Samples Reorvod TrrGood Condition" Yes C) No Samples on Ice? Yes Q IVa Method of ShTprneni Pot k Paige of <br /> To be omiplered upon receipt of reporl <br /> 1)Were the artdtysos requested on the Chafn of Custody reported? fl Yes Lt No rr no,what analyses are still needed? <br /> 2)Was the report Issued within the requested lurnalound time? I]Yes U No 11 nn,what was the lurnaroand time? <br /> LAPP I b r_ Signature. - Company Date <br /> I <br />
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