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ARCHIVED REPORTS XR0006443
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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4491
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3500 - Local Oversight Program
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PR0544625
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ARCHIVED REPORTS XR0006443
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Entry Properties
Last modified
7/3/2019 8:07:43 PM
Creation date
7/3/2019 4:42:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006443
RECORD_ID
PR0544625
PE
3528
FACILITY_ID
FA0003113
FACILITY_NAME
ZAPIEN MARKET
STREET_NUMBER
4491
Direction
W
STREET_NAME
DURHAM FERRY
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
25504003
CURRENT_STATUS
02
SITE_LOCATION
4491 W DURHAM FERRY RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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it � r �r �r � ar r r r r �r ■i <br /> CHAD OF CUSTODY Page I of __j � <br /> Della Environmental <br /> Delta Consultants,Inc LABORATORY SMMPLESSENTTO <br /> Environmental 3330 Dala Orlve,Sults 100 C <br /> Conautlsnls,Inc. Rancho Cordova,GA 95670 <br /> 9161638 2085 • FAX 9181638 8385 <br /> PROJ NO PROJECT NAME 94)'L- 6rocl.- Analysis Requasled S ADDRESS, <br /> Yo-9/-73 Z PROJECT LOCATION. 4y4)/ Wts7 D.,rAn,„ Container Description CA <br /> j PROJECT MANAGER. a Q , <br /> SAMPLERS(Signature , Q <br /> ° i q <br /> a `n <br /> a I- RA-}, Wru C 1 REMARKS <br /> i 7gRY + SAMPLE to DATE TIME SAMPLE SAMPLE LOCATION j `l, <br /> SJ�MPI E ID a TYPE a + <br /> ?} ♦i+ n 4y <br /> kf <br /> Wag} J s lorC <br /> g.113 1 ori <br /> !,!•11-1h r4.,1, C 6,Ali S 141 <br /> i <br /> .s`t <br /> { <br /> i 4 rt <br /> '{ �r <br /> r Ai <br /> 4+} <br /> I Y <br /> ♦}J Jf F+f 1� <br /> Relinquished by.(Signature) Data Time Race l ad tky.(Signature) Relinquished by.(Signature) Dale Time Racelvad by (S)gnature) <br /> lb $'2 1 0622 <br /> R inquished by (Signature) Data Time ace Ye of r story y; grraiure Data Time 7umaround Time. <br /> d-7hi <br /> )/g/ <br /> Sealed for shipment by.Islpnatura) Daloff[me Shipment method. <br /> SemplerCammente. � .u� r Laboralary Commonle;,' f, Jr 'i 1 3 <br /> 's+ <br /> y r i LL <br /> 1 <br /> 61901 �r ni <br /> -'y Condition oI <br /> White Return with analytical results to Delta Yellow Laboratory Copy Pink Delta's Copy <br />
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