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ARCHIVED REPORTS_XR0012703
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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455
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3500 - Local Oversight Program
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PR0545202
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ARCHIVED REPORTS_XR0012703
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Entry Properties
Last modified
1/27/2020 10:29:37 AM
Creation date
1/27/2020 9:43:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012703
RECORD_ID
PR0545202
PE
3528
FACILITY_ID
FA0003124
FACILITY_NAME
7-ELEVEN INC. STORE #20304
STREET_NUMBER
455
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
455 W 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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5 <br /> Harding Lawson Associatar <br /> 1355 willow I GmiaSuite5209 CHAIN. ®F" CUSTODY FORM v <br /> ` Concord,California 94520 La3�• �-r � . --- i:-��.�' <br /> 4151687-9660 1 <br /> Telecopy--4151687 9673 <br /> Samplers: r7 •` , ANALYSIS REQUEST <br /> Job Number: J 70G0" Orf <br /> Name/Coca#ion:. �-�� ��lsry :.. m •, <br /> Project, V,.�-,nager: lfq,� Recorder � x o.} <br /> (Srgnatum Rage 4 a <br /> MAT #CONTAINERS SAMPLE <br /> RIX,• o a o o m <br /> :&.PRESERV. NUMBER <br /> Y DATE STATION DESCRIPTION/ m w p <br /> w OR = o <br /> . <br /> cc UJLAB NOTES m m i <br /> � T;-- <br /> e _ � r N e lA- `y t� \• 7 NUMBER O O N Nt0 �0 c0 t0 m D. <br /> 0o $ o = ' Nx 00 y y t7 � Y x Yr Wk Seq Yr" Mo' Cy f ime' n. C- <br /> a <br /> W Iu W I <br /> PIK IV <br /> 9 r <br /> 1, <br /> 1 <br /> ,i `/ i tel . J <br /> r <br /> > <br /> LAB= DEPTH COL _ OA <br /> NUMBER IN MTD CODE <br /> MISCELLANEOUS <br /> .' <br /> r CHAIN OF CUSTODY RECORD <br /> Wk Seq FEET' CD <br /> ;t I. <br /> I -HRELINQUISH 13 BY: (Sf 4wreJ RECEIVED BY:fSignatureJ DATE/TIME <br /> '/ a <br /> i �'`f! 14,- i JU <br /> RELINauistIIE61 :(SignaturcJ RECEIVED BY:(Signature) DATE/TIME <br /> RE BY: Si na u <br /> i ( i rcJ <br /> 9 RECEIVED BY:(Si nature <br /> g J DATE/TIME <br /> RELINGUiSHEDBy:(Signamrv) RECEIVEDCY:(Signature/ DATE/TIME <br /> yl <br /> DISPATCHED BY:(Signature) DATE/TIME RECEIVED FOR LAB BY: DATE/TIME r; <br /> (Signature) <br /> METHOD OF SHIPMENT <br /> Laboratory Copy Proiect Office Copy Field or 4 ropy 6533 J <br /> _ White Yellrnv PinK, v. <br /> es '. <br /> iG gp <br />
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