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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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SJGOV\sballwahn
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EHD - Public
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`. EOUOIA ANALYTICAL o680 Chesape�; . rive • Redwood City, CA 94063 • (650) 364-9600 FAX (650) 36 X33 <br /> ❑ 819 Striker Ave., Suite 8 • Sacramento, CA 95834 • (916) 921-9600 FAX (916) 921-0100 <br /> T' ' <br /> )(404 N.Wiget Lane •Walnut Creek, CA 94598 • (925) 988-9600 FAX (925) 988-9673 <br /> CHAIN OF CUSTODY <br /> za-1'. ❑ 1455 McDowell Blvd. North, Suite D • Petaluma, CA 94954 • (707) 792-1865 FAX (707) 792-0342 <br /> Compan Name:ITETTrlER—RYN INC , Project Name:' Ivsc( I t Jq T LATRR <br /> ; Mailing Address: 4 S esu e Billing Address (if different): <br /> Ll State: Zip Coder <br /> Telephone ,25 551— 1 515 5 FAX#: �>� F?O.#: 161500 SOU rR WIT ER STRT� <br /> �. p vo G LSE p kARIG KEVOR (Standard)Re ort To: u Sampler: DC Data: Level D Standard ❑ Level C ❑ Level B ❑ Level A , <br /> „': Tumaraund ❑ 10 Working Days ❑3 Working Days ❑2 - 8 Hours ❑ Drinking Water Analyses Requested <br /> % d <br /> Time ❑ 7 Working Days ❑2 Working Days ❑Waste Water Q �� . <br /> > 5 Working Days ❑24 Hours Other <br /> r e ',�► C. <br /> e, gClient Date/Time Matrix # of Cont. Sequoia's Comments <br /> Sample I.D. Sampled Desc. Cont. Type Sample # d� o <br /> 1:. <br /> ro V00Polo td �/ 11000- V 'o <br /> 3CM1 1C <br /> � <br /> j -;3 .: Q <br /> ' 4 } <br /> 6 <br /> 7. o <br /> U) <br /> 1 a <br /> < Relinquished By: Date: of ime: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By: Date: Time. <br /> rr r' Reltnquished By: Date: Time: Received By Lab: ',, Date: Time: f <br /> Were Samples Received in Good Condition? UeYes 0 No Samples on Ice? lti es ❑ No Methnrl of Shir>ment Paqe of <br />
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