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ARCHIVED REPORTS_XR0004274
Environmental Health - Public
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EHD Program Facility Records by Street Name
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L
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LARCH
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425
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2900 - Site Mitigation Program
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PR0541913
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ARCHIVED REPORTS_XR0004274
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Entry Properties
Last modified
2/13/2020 7:26:10 PM
Creation date
2/13/2020 1:39:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004274
RECORD_ID
PR0541913
PE
2960
FACILITY_ID
FA0024043
FACILITY_NAME
FRONTIER TRANSPORTATION FACILITY
STREET_NUMBER
425
STREET_NAME
LARCH
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
21220009
CURRENT_STATUS
01
SITE_LOCATION
425 LARCH RD
P_LOCATION
03
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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low- <br /> -- ANALYTICAL REQUEST ISA RAIN OF CUSTODY <br /> -- LAB.TRACKING #: ----- T <br /> Q �. RECIEVEXI:•�- - - - . _ :'RECORD %t OF DATE <br /> LAB.INVOICE TO <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES - <br /> 10624 OLIVE AVENUE,OAKDALE,CA.95361 ----------.-..._. __..--------...._._.____ ...—....�- ------• --- <br /> OFFICE-(209)847-8757 <br /> FAX -(204)847-7744 PH.# (----_...-)--____-_-__-----.-.CONTACT: -------- ----_- <br /> CALIFORNIA CONTRACTORS LICENSE#6573661 CLASS"A"ENGINEERING <br /> OB# -------- --1 OICE#-----------.-----P.O.It ,r <br /> I 1111,01II.113�I1�;1€ ;Y�I€fE I `Ifl 'lii!!';il SII 1u,q��j';��11j1 €�E�tl.i�ilik;i fill Ali Irl''I i E lEI-- (I�}� it ,i' Iki !I::�I i��lil LAB.ANALYSIS REQS SITE SAMPLdNG MAP <br /> ?.,3. I;��!Ulu i:f.'I.lii( i iII,L:il-.l.,.l{fk I�L�Hi II IJ,I�u•.,,�u�..�� lt..,,.,,L,ilunnl;EF��,I III���i.,..�V,,lllb,,,li i i,....- .....Li i, .i,.�..Il.i�- <br /> CLIENT• D CONSULTANT: p .1 F <br /> SITE NAME: Du PROTECT: fry 6w� • p x <br /> ADDRESS' CITY' ST.: <br /> SAMPLER SIGNATURE <br /> SHIPPED VIA: WAYBILL# P _ <br /> x p+ � ! 4 <br /> ANALYSIS BY: TURNAROUND TIME: DAY �+` �` W Aa o W <br /> SAMPLE LD.0 DATE TIME CONTAINERS TYPE MATRIX ';i�ill 'I�I�I�I ,�Illill 'fi {. MomIEIiEIf� lilfi �i'' �I{li`�', ltfil! REMARKS/LAB.I.D. <br /> I) 5V bI I L <br /> 2) t'v�lllllllilll,] - <br /> 3'-) $ q y <br /> 4) YWkA) <br /> ' s) Y) 2- <br /> 7,)7.) �- <br /> • <br /> 9.) <br /> 13) <br /> 14.) <br /> 4 Is) <br /> RE<.,N0uL%1EnBY: ZA <br /> Rs� DATE/T NM <br /> tvEnBY: "i � _ _ ;' � SAAfPLEINTECRITY/CONDITION(SIGNATURE) -1 J ' rf RECEIVED COLD&INTACT/ YE NO DATE 77TME <br /> REL[NQIRSHE 1 BY: RFit.rvm BY; ABR BUBBLES[N V.O.A.'S ! YES NO ( LI 5 N- <br /> I (SIGNATURE) r CUSTODY SEALS INTACT /YES NO ! ) N/A ( 1 <br /> A ! <br /> DATE fUME <br /> RFLENQOUISHED 13Y: BY: PRESERVATIVES USED / YE5 NO / <br /> I (SIGNATURE) r V <br /> NOTE: PLEASE ARCHIVE THE SAMPLES SUBMITTED FOR THE FIR.L HOLDING TIME ALLOWED,UNLESS OTHER ARRANGEMENTS ARE MADE. * (M.T.B.E..T.A_M.E.,E.T.B.E.,D.LP.E.,T.B.A.) <br /> B.B.=BAILER BLANKS COLLECTED IN THE FZE.LD. F.B.=FIELD BLANKS COLLECTI3)IN TIIF 17MLI). <br /> PINK-FIELDC'OPY WHITE&VELLOW-TOLAB.WITHSAMPLES YELLOW•RETURN TOCLIENTN'TIIIRESULTS DF:I:TECIIC'.OX,FORM 99 <br />
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