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ARCHIVED REPORTS XR0011343
Environmental Health - Public
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EHD Program Facility Records by Street Name
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D
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DURHAM FERRY
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1600
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3500 - Local Oversight Program
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PR0544624
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ARCHIVED REPORTS XR0011343
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Entry Properties
Last modified
7/3/2019 6:16:13 PM
Creation date
7/3/2019 3:53:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011343
RECORD_ID
PR0544624
PE
3526
FACILITY_ID
FA0005206
FACILITY_NAME
GEORGES SERVICE
STREET_NUMBER
1600
Direction
W
STREET_NAME
DURHAM FERRY
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
25510004
CURRENT_STATUS
02
SITE_LOCATION
1600 W DURHAM FERRY RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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12/23/1999 E CHAIN OF CUSTODY-- LAI; TRACKING # ..... ...... <br /> �• <br /> 1999120767 �- - - <br /> TAT Standard <br /> DEL-TECH-SVC <br /> DATE RECIEVED ----------------_--.--i------ <br /> Pre-Login ID1223002 .L' .. . _ C_ .1--- <br /> LAB INVOICE TO - ----- -- ..._�. ------------------ <br /> _c* <br /> ---------------- <br /> I�EL-TECH GEOTEC �7 ,l ` <br /> 10624 OLIVE AVENUE,OAKDALE,CA 9536I _ - -- --------rc. ........... --. <br /> OFFICE-(209)847-8757 <br /> FAX -(209)847-7744 PH# t- } � ..�_-- --CONTACT ----.. -------------- --------------------------_-------- <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING <br /> OB# ___......---...._...--INVOICE# F O # <br /> (illillillhill I I III I LAB ANALYSLS REQUMED(PLEASE PRIM) SITE SAMPLING MAP <br /> (NMTM <br /> CLIENT - CONSULTANT <br /> SITE NAME P �1,ROJECT 1 `p 11lTfilu 14 r, <br /> ADDRESS <br /> CITY• ST <br /> SAMPLER SIGNATURE. �.,� <br /> SHIPPED VIA WAYBILL <br /> ANALYSIS BY- TURNAROUND TIME DAY(S) AP <br /> I�J I SA"FlE l.D f DATE TIME CONTAINERS TYPE MATRLK ill��l��l il�III�I iIIIIIIII liII���IIII iilil'II i�li i f l�' � 1 EI�II REMARKS I LAB 1 D PS <br /> ,) 4Z 1"1S` Z <br /> 34 <br /> 4) 1 !✓ 1 <br /> 5) 4.7� <br /> b) _ !'1 <br /> 7) - D <br /> 8) 1-] <br /> 9) <br /> 12) ,� <br /> Q <br /> 13) , <br /> I4) 'DW-3 L44 Z <br /> IS) R F 1 --7 <br /> DA TIME FA7MVEDBY DATErnME SAMPLEINTEGRITY/CONDI 77ON <br /> RELINQUISHEDBY l1 <br /> y (SIGNATURE) RECEIVED COLD&INTACT/YES NO <br /> bAT>:!7SME <br /> DATE/TIME <br /> RETmQtnstimBY RECEFVEDBY ADZ BUBBLES IN V O.AE <br /> 'S I YS ( NO LFNRSN <br /> I (SiGNATUIP DY SEALS INTACT I S ES NO( NIA ( ) <br /> DALE I TIME ATE!TIME <br /> R" RFLE77ViUBY i PRESFAVATEVPS USED I YES ( Nor <br /> _ <br /> r ISIGruTURl3 it TYPE-u ppFqrRv&THBsj <br /> NOTE PLEASE ARCHIVE THE SAMPLES SUBMITTED FOR THE PULL HOLDING TIME ALLOWED UNLESS OTHER ARRANGEMENTS ARE ADE it <br /> f <br /> A A —A A It GD RI A Nu¢MI T F("P(:T)Tib Tl TT T TPI T) T'R -FI FT Tl RI A NVIC(Yet 1 1 CTT n IN T14F 11171 D <br />
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