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ARCHIVED REPORTS_XR0004056
Environmental Health - Public
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EHD Program Facility Records by Street Name
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L
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LINNE
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3780
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3500 - Local Oversight Program
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PR0545387
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ARCHIVED REPORTS_XR0004056
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Entry Properties
Last modified
3/5/2020 9:29:31 AM
Creation date
3/5/2020 8:30:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004056
RECORD_ID
PR0545387
PE
3528
FACILITY_ID
FA0005718
FACILITY_NAME
SINCLAIR TRUCKING
STREET_NUMBER
3780
Direction
W
STREET_NAME
LINNE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
3780 W LINNE RD
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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-- ANALYTICAL REQUEST/SAMPLE CHAIN OF CUSTODY-- LAB-TRACKING $f: ------------------------------ fa <br /> cr <br /> RECORD _I OF A— DATE RECIEVED: . ---------- <br /> --------------- <br /> DEL-TECH GEOTECHNICAL SUPPORT SERVICES LAB.INVOICE TO: - --' -- Jl------=-� r --------.----- <br /> ID624 OLFVE AVENUE,OAKDALE,CA.95MI (�� � ��{ -----.3�D��+----�---------�� .D�-."'__`_�—��?- �----•----^ O <br /> OFFICE- )94 -77-8757 :j i e_ JL$ y `r""yt `4 � Lel <br /> FAX -(2A9)a47-7744 Y t eH.a (-----j--}�2---��!�coN•rAc7: }G------------------------ ----- --- .. <br /> CALIFORNIA CONTRACTORS LICENSE#657366/CLASS"A"ENGINEERING 1 lb P! <br /> �w m <br /> OB 0 — – –!NV OICE R-- - -----– P.O.# ._i� �'` <br /> `._Ifl6l]!:d? f ill ,. ,II,. �� -F s {ii 01 <br /> .�. _ „r.,. „I ,-i„ i ,,,; I •II -- LAH.ANALYSIS AF�(j1.IFSTED(PLEASE IRIKI7 PUN A <br /> .t ...:,I: � :, u:. .la„ ,���' SITE SAh1 G MAP <br /> CLYENT: � � COHSEJLTANP: T I uowm <br /> srrE NAME: GZ PROJECT: Sr o I L.� �a 0 3 I ' 1 <br /> m <br /> ADDRESS: cm- sr.: } �7 r D 1 � l,. <br /> SAMP[ER SIGNATURE L t 6- <br /> SfM'PEn VIA: �' WAYBELL a: /A Lu a <br /> ANALYSIS BX:' TURNAROUND TIME DAY(S) <br /> MAP <br /> SAIfPIEI�.X DATE77ME CONTAINERS TYPE FfATRlX Ril!! iiI'F., .'! Jr.i '.' REMARKS 1. <br /> �. D.#1'r <br /> 131)3 .. 1m <br /> n <br /> 3a 7� <br /> 4) VAWb-- n <br /> f 7, <br /> 9.) � <br /> n <br /> v Ira, <br /> [lj <br />, m <br /> 12.) <br /> l4.) ti] <br /> 41L <br /> 1 � <br /> bA !TT DA'I1:ITIME <br /> REIS 1�7} '�cavEnar: SAMPLE INTEGRITY I CONDIT10,N <br /> fSIGNATME, 7 I (SICNA,URE) REM VED COLD&INTACT I YES f ) NO f ) <br /> DATE I T)hAL DATE J T I ME <br /> MANQUISHEDBY: RECEWEDBY: AIR VEJUBLF-S IN V.O,&:S f YM f ) NO I - LINP 5.M- <br /> 1 VONATURE) CIi5TODY SEALS INTACT 1 YF,S( ) NO I I N!A s I <br /> 4 DATF MME [)ATE.r TIME <br /> RELINQMS[CEDDY R&TU`lEE)BY: ]'IZ[:SkiRVAT[Vk'_SUSIA) r YI;S r /N 4 s <br /> MNATMLI / <br /> (SIGN ATt1W:l / T I:T) - V V•.ti T Iv <br /> NOTE: PI.EASI:AIkCIfIV[3 TI IF SAMPI ESS LJDM[r(W)MR 7]117 IIIF.I.1101_WNC TIMP A]A.0VA-D,UNi J�-Ss(ITI11iIt ARR AN(iiM NN SARI MA 19: <br /> H.B.=BANXit 13I,ANKS tY}l.i.Fa-I1:2)IN THEI4371-1). F.B.=I`flil.l)QI-ANKS C(II.I.FUJl?l)[N'I111:Flla.i). <br /> KINK-FIF.I.h t'0Pl- t1711TF:K1'F:L[.Ilw•'fYs 1.lN,krl'171 S�blF'LF_Y 1F:LLIN1.Hh;'f1�[tN'It)t'IJF,N'k"H'TTII kF:ti[4.15 I)HI.TF;t'll 1•.t)t".Ft)N�t 9K <br />
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