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ARCHIVED REPORTS_XR0011602
Environmental Health - Public
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EHD Program Facility Records by Street Name
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H
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HARLAN
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16500
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3500 - Local Oversight Program
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PR0545275
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ARCHIVED REPORTS_XR0011602
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Entry Properties
Last modified
2/3/2020 3:01:08 PM
Creation date
2/3/2020 12:48:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011602
RECORD_ID
PR0545275
PE
3528
FACILITY_ID
FA0005678
FACILITY_NAME
LATHROP SHELL
STREET_NUMBER
16500
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
16500 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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1-1680 Chesapeake Drive • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 364-9233 <br /> SEQUOIA ANALYTICAL _ <br /> iJ 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> CHAIN OF CUSTODY 404 N.Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> ❑ 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX <br /> -(�707) 792-0342 <br /> Company Name: GE-TT [�PL — �� f 1� � C , Project Name: T-O S C O �p #� 4 S —L—rC s H p1. <br /> }, ' Billing Address (if different): <br /> or3 q s � (% A <br /> Mailing Address: �- 'G� C-�I g ) - �} <br /> City: State: C_ Zip Code: y, To5 C o PPLO I SC r M& LLG <br /> Telephone: �CJ S�1 �� j S 5 FAX #: S P.O. #: LD <br /> Report <br /> U <br /> Report To: o �L L� sampler: { V © C Data: Level D (Standard) ❑ Level C ❑ Level B ❑ Level A <br /> Y <br /> Analyses Re nested � <br /> Turnaround 1110 Working Days XQ Working Days ❑ 2 - 6 Hours U Drinking Water Y q � <br /> Time: ❑ 7 Working Days ❑2 Working Days ❑Waste Water v <br /> ❑ 5 Working Days ❑24 Hours Other <br /> Client Date/Time Matrix # of Cont. Sequoia's -\ Comments c1 <br /> Sample I.D. Sampled Desc. Cont. Tye Sample # <br /> 1. tai— l l�`� 9 501 �-- ; 90 X09 r� <br /> 3 9o�o9e �, <br /> 3 57= g 3 9a1os90 <br /> 4 15T t l 901099 } <br /> `�_ �j 901099 v <br /> 5. <br /> 6. -59 <br /> 0 <br /> 7. <br /> Cr <br /> CD <br /> 07 <br /> m <br /> 9. 3: <br /> 10. <br /> / I till III <br /> Relinquished By: Date: } ime: Received By: Time: <br /> Relinquished By:WRW\Date: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By Lab. G ti Date f Time:I �� <br /> Were Sampl's Received in Good Condition? 1J Yes ❑ No Samples on.lce% ': Yes U No Method of Shipment Page, of, <br />
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