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SU0008852 SSNL
Environmental Health - Public
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PA-1100136
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SU0008852 SSNL
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Entry Properties
Last modified
5/7/2020 11:33:43 AM
Creation date
9/6/2019 10:43:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0008852
PE
2611
FACILITY_NAME
PA-1100136
STREET_NUMBER
34770
Direction
S
STREET_NAME
KOSTER
STREET_TYPE
RD
City
TRACY
APN
25517001
ENTERED_DATE
8/8/2011 12:00:00 AM
SITE_LOCATION
34770 S KOSTER RD
RECEIVED_DATE
8/5/2011 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KOSTER\34770\PA-1100136\SU0008852\SS STDY.PDF
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EHD - Public
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EnYllftOnl�9EMTAL CHAIN OF CUSTODY <br /> AND ANALYSIS REQ UF.ST DOC UMEAT <br /> Lab Num TEST UESCRIPTfON AND ANALYSES REQUESTED <br /> Client: Live Oak Geu rtvirvnrnenta! <br /> C'�er Number 3018608 <br /> H <br /> mess' 407 W.Oak St. <br /> Lodi,CA 95240 <br /> Phone, (209)3890375 Fax: (209)389-0377 <br /> Email Address: abby®logelati.eom <br /> Contact Parson Abby Racal o <br /> Project Name Navarra Prop&tes,Tracy <br /> PtnchamOrder Number a ! <br /> Quae Nuntxx <br /> S+inrptat(a): Jessen Welch <br /> Sampling Fee P Fee: P `; <br /> Compositor Soiup Dale: Sime. � � � � `� <br /> g n <br /> P Lvcati0n[]ascripuoo pate Tirna <br /> s <br /> N&M Sampled Sampled <br /> 0 Travel stank Gx <br /> 40un7�mtic �4755 �1811e—nDG3 PIG R WRC p 1 4 X X <br /> G 3 P!G P bW SRC O 4 X X Di S <br /> it- 7 T <br /> Remarks elatquiffted Date: Time Relinquished DwLe Time: WIDV,'C� Pimp. <br /> Receiv By Derta: Tana. Race y Tt a: te: T' t, <br /> �crPa►ate OMcee i LrberaR4aSr Oftoo R Laticirak6fy Office t Laboramry ' FMM O!H <br /> e63 poraBort Stlret 2500 Stagecoach Road 5M E.Lindo Avenue Visalia,nmwomiQ <br /> Santa PauEa,CA v30Bt) Stockton.CA 96216 Chico,CA 85628 TEL 6-8/734-9473 <br /> TEL'806/392 2000 T'F.L.2D91942d0162 <br /> FAX:gg6/626-4172 FAX:2C904243423TE€.' Q+341� M6biiB:660!737-2399 <br /> CA NELAP Cartificetion No.011 10C CA ELAP GartMcu6cn No.1663 FAX 530643 FAX:6981734-8435 <br /> CA ELAP CerEdaation No.2670 <br /> l <br />
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