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ARCHIVED REPORTS XR0012481
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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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 XR0012481
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Entry Properties
Last modified
2/15/2019 6:17:47 PM
Creation date
2/15/2019 2:33:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012481
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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rax copy of Lab Report and COC to Chevron Contact 0 No <br /> Chaf --of--Custod —Record <br /> Chevron Foalttt�r Number 7 7— f <br /> Chwron Contact (Name) <br /> Chevron U.S.A. Inc. Fadgty Address 3a !.c/ ,� , 1--�,v �a� — <br /> Consuttont ProJect Number 7 `!��hf g'a DC7. j�O (Phone} <br /> P o pax 5004 < <br /> Consultant Name—: c:!, , 1 I Laboratory Name <br /> San Ramo I, CA 94583 " - 7�i HG7�e�.,o <br /> FAX (415)842-9591 A"ar—32 *Z X Icri �J 7&7-- <br /> Laboratory R.iso,. Nwr�b.r — <br /> ia <br /> SAmI CallscW by {Hams <br /> Project Contact (Name) 0,,,- C7. <br /> (Phone) —J ColleI Date <br /> .(Fox Number) '3a Signature <br /> — <br /> (Phone) <br /> Analyese To Be Perioms <br /> .. s <br /> S �a S925 $ � Ep 'l <br /> ZVs , 11 za Z <br /> S � +N <br /> Remarks � <br /> ^PJ�k <br /> 3 � <br /> Ll <br /> a Rig ay (�9n Organl:atlon Date/`l7m/ Reosked By (Signature) Or Dotr <br /> /Yk^+ Turn Around isms (Ckds Choi") <br /> Retingul <br /> } Organlso4Jon Oote/11ms Recetyed By (Signature) organization Oots/Tlrne f+ 24 Firs <br /> Rellngtrldsed By (5lgnalun) TOrpanlzatlon pctsrr'� Do <br /> /�� Rrals�red For laboratory BY (519r+attD^ws�) �e`�i Do" <br /> M C"*� r9 S <br />
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