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ARCHIVED REPORTS_XR0004756
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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7505
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3500 - Local Oversight Program
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PR0545388
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ARCHIVED REPORTS_XR0004756
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Entry Properties
Last modified
3/5/2020 9:18:21 AM
Creation date
3/5/2020 8:44:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004756
RECORD_ID
PR0545388
PE
3528
FACILITY_ID
FA0003212
FACILITY_NAME
JIMMY'S GROCERY & DELI
STREET_NUMBER
7505
Direction
W
STREET_NAME
LINNE
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
24808013
CURRENT_STATUS
02
SITE_LOCATION
7505 W LINNE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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mm MIMI <br /> ( Advanced <br /> CHAIN CUSTODY*CURD <br /> C{ t Date ?j 8 rage of <br /> m <br /> GeoEnvironental, Inc. v <br /> 4005 North Wilson Way-Stockton,California-95205-(2m 467-1008-Fax(209)467-1118 I <br /> Client Project Mager <br /> o fie T Require <br /> t <br /> P no Number <br /> 1t0( <br /> S rs: S' nature} Invoice: <br /> Project Name I AGE <br /> Sample Location Sample Type No. of <br /> tion Date Time Water Solid Notes <br /> Number Description Air Conts. <br /> Comp. arab. <br /> i <br /> .MW . ��� 3 5 <br /> - 71 � - - , <br /> M le <br /> j �© X y- _ 7.1867 <br /> i <br /> -0 7.1.8 6$ . ._ <br /> _118-69. <br /> MUJ�/o a o <br /> 718 7 i <br /> e mqu y t net re ece ve y: gnatura d}arrte/Time <br /> l <br /> Relinqu shed by: Signature) Received by: (Signature) Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis:(Signature) T <br /> DaterTime <br /> Dispatched by: (Signature) DatelTime Received for Laboratory b '7 ateJTime <br /> Method of Shipment: oratory N me <br /> Special Instructions: PR � } �j TIO i hero y au arize p rlorman a of the above indicated work. <br /> P AD 3Pt; A"SENT'_�V COIVTAMERS <br />
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