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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0009180
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Last modified
2/5/2020 8:09:41 PM
Creation date
2/5/2020 1:25:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0009180
PE
2960
FACILITY_ID
FA0003993
FACILITY_NAME
MANTECA INDUSTRIAL PARK
STREET_NUMBER
575
STREET_NAME
INDUSTRIAL PARK
STREET_TYPE
DR
City
MANTECA
Zip
95336
APN
22119058
CURRENT_STATUS
02
SITE_LOCATION
575 INDUSTRIAL PARK DR
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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TRZOWELL & ASSOCU CHAIN A CUSTODY <br /> ` 53 Sacrarnenio Street, Suites Boa <br /> . <br /> San F:anc:sco, Caiiior=a 94111 RECORD <br /> (415) 955-9040 <br /> r�iec 110 r7d Project. Name: /(i N{ Date:9/7 / Page:--L—of <br /> Analysis I Samcle Information lReiinquished By (Sameler): <br /> ;ate Samole y <br /> d <br /> Number c aignatu <br /> iO L <br /> c <br /> Fnnma Nana <br /> U T <br /> Date: 7 ime: <br /> z Received By: <br /> I I I I I I ISI <br /> Sign tore <br /> �/ I /L{Uf� Printed Name— <br /> °��/ C-,mcanv <br /> Date: °t1L me,.23 <br /> Reiinquished By: <br /> Sigrature <br /> I IIIIII <br /> I I I I I I I I I <br /> Fnntea Name <br /> Date: -:..-.,:. Time: — <br /> hietnoa or Shipment <br /> 1 1 1 1 1 I I Received By (Lab): <br /> Signature <br /> II Iillllll � <br /> Fnntea Name <br /> IIIIII � �a - _ <br /> Date: Time: <br /> Lb Comments: See ZdA-) <br /> I I I I I I I <br /> I t r Tota! Number of <br /> x x <br /> Containers <br /> REMARKS: <br /> a� <br /> 17 OVA <br /> P10 s b <_ab recawQJ <br />
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