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ARCHIVED REPORTS_XR0002368
Environmental Health - Public
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EHD Program Facility Records by Street Name
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G
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GRANT LINE
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15
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3500 - Local Oversight Program
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PR0545195
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ARCHIVED REPORTS_XR0002368
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Entry Properties
Last modified
1/23/2020 3:29:40 PM
Creation date
1/23/2020 2:50:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002368
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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ATC ASSO ATES, INC <br /> CHAIN OF CUSTODY <br /> Project Information Report To Samples Submitted To <br /> Project No 51 ;SV,¢q ao,7 Consultant ATC Associates Inc Laboratory Argon Labs <br /> Project Title G 7t o,- v ��+�y Address 1117 Lone Palm Avenue Suite B Address 3637 5th Street <br /> Location Modesto California 95357 <br /> Ceres GA 95307 , <br /> tt^ 7 Contact �ie-�/ �w , A Contact <br /> Sampler s Name `` i/ Phone (209)579 2221 Phone <br /> (print) �r�•�- Fax (209)581 9280 <br /> {209)579 2225 Fax (209)581 9262 <br /> Sampler's Signature Bili To Date Results Required <br /> Client Same Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> (S Day) (10 Day) y <br /> El Nm <br /> w rn v <br /> m <br /> C1 C3 <br /> a <br /> Z 0. <br /> IL w N N o il j <br /> cc COMMENTS <br /> Sample ID Date Time #Containers Matrix Preservative <br /> CPr*- 1 -W lc7 1-34 S W.1 <br /> lei <br /> Relinquished Date Time RecelVd By Date / J Time r� SPECIAL INSTRUCTIONS <br /> � b <br /> A)1A 2 7445' <br /> jUl t�(� �r� 1 t7�C �Ei3�r f (�iFr <br /> Relinquished By Date Time Received By Date Time a3,7 3A WA <br /> Relinquished By Date Time Received By Date Time <br /> ct.�.,►Tn Tv6a77Lk2l o <br /> �3 <br />
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