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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545195
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Last modified
1/23/2020 11:58:15 AM
Creation date
1/23/2020 11:36:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545195
PE
3528
FACILITY_ID
FA0002915
FACILITY_NAME
TRACY MARKET INC
STREET_NUMBER
15
Direction
E
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21435004
CURRENT_STATUS
02
SITE_LOCATION
15 E GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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2795 Second Street, Suite 300 Cal Science Environmental <br /> t <br /> Davis, CA 95616 7440 Lincoln Way <br /> Lab: 530.297.4800 Garden Grove, CA 92841 <br /> ALYT/CAL cr.c Fax: 530.297.4808 714-895-5494 Lab N Page _L of __J <br /> Project contact(Hardcopy or PDF to): Geotracker COELT EDD REPORT? Chain-of-Custody Re d a nalysis Request <br /> Joel Kiff _YES X NO <br /> Company/Address: <br /> Sampling Company Log Code: Analysis Request <br /> Kiff Analytical, LLC <br /> Phone No.: FAX No.: Global ID: <br /> M <br /> O <br /> Project Number: P.O. No.: EDF Deliverable to(Email Address): N <br /> 022-370 34919 U) a; o <br /> Prin <br /> oject Name: E-mail address: Q `— <br /> 022-370 inbox@kiffanalyt cal.com I j <br /> N <br /> Project Address: <br /> Sampling Container Preservative Matrix o o <br /> oo fl. LL <br /> p o ~ — (n <br /> Sample W " w � = m cn <br /> w U <br /> Designation Date Time i? a ¢ z z w z z -� U U 4. <br /> S-7-T1 9/12/2003 1 X X I I X I X X X X X <br /> SP1a-d 9/12/2003 1 1 X X I I X I X X X X X <br /> Relinquished by: /0 r� Date Time Received by: Remarks: Please report Cr III and Cr VI separately <br /> Q c o I <br /> Relinquished by: Date Time Received by: <br /> Relinquished by: a Time Recei Laboratory: Bill to: <br />
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