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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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24100
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2900 - Site Mitigation Program
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PR0508110
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Entry Properties
Last modified
2/14/2020 4:03:38 AM
Creation date
2/13/2020 9:52:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0508110
PE
2950
FACILITY_ID
FA0006134
FACILITY_NAME
POMBO RANCH
STREET_NUMBER
24100
Direction
S
STREET_NAME
LAMMERS
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
24002002
CURRENT_STATUS
01
SITE_LOCATION
24100 S LAMMERS RD
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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f GeoAnal tical Laboratories Inc. Lab Report --0g <br /> N .. Y s <br /> RegulatoryYes 13 No CC: Yes '13' No <br /> 1405 Kansas Avenue Phone: (209)572-0900I_ <br /> Modesto, CA 95351 Fax: (209)572-0915 Regulator: �>A4V GLlnl C <br /> Phone: (Zcy ) ��7l <br /> Client: —%'�1 K� e� . �} � CHAIN OF CUSTODY Fax: (Zoe 5 7 ` /.5� <br /> Address: -R(Q- S 7 t/, l9-1 DF 13EDT Original To: n'l►Je k1_LQt_'t'2Z 4-A I Z_ <br /> City _5 I Z` 4• Zip 95?5— 7 .FIELD LOGS C.0 To: 10/0 i &AIC4,1.11 <br /> Project ID PPAI J > U t ' `y Lab Use Only <br /> (Print Name) �A!� <br /> Sampled By <br /> (Signature) Container <br /> d 5 rIw <br /> w r k <br /> Sample type <br /> m le ID <br /> Date Time Grab Comp hlatri. p Type Size �� \ <br /> Remark, <br /> 22 <br /> 7 �, 7�fZt Lr t C7 <br /> '5_777 777 <br /> E=1 <br /> Remarks <br /> c <br /> Relinquished by(Signature) Date Time Received by(Signature) Date Tune <br /> Relinquished by(Signature) Date Tim Received by(Signature) Date 7 iaue <br /> Preservative: Matrix <br /> O40C8HCL0Na0Ho Na2Sz03 0-HNO3 O-H S 04 ()-Other a Drinking Water®Waste Water 4P Hazardous Waste(%kaier)©soillsohd <br /> Pum Tr k Time Mileage 6 <br /> Bailers SS Gallon Drums <br /> —12 Approved By: <br /> Turnaround Time ❑Saaudard ❑Silver Rush ❑Cold Rush Platinum Rush ❑Oaher <br />
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