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ARCHIVED REPORTS_XR0008315
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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TOM PAINE
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18775
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2900 - Site Mitigation Program
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PR0004367
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ARCHIVED REPORTS_XR0008315
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Entry Properties
Last modified
5/7/2020 4:03:07 PM
Creation date
5/7/2020 3:50:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008315
RECORD_ID
PR0004367
PE
2951
FACILITY_ID
FA0004052
FACILITY_NAME
FARM UGT
STREET_NUMBER
18775
Direction
S
STREET_NAME
TOM PAINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21302030
CURRENT_STATUS
02
SITE_LOCATION
18775 S TOM PAINE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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LSauers
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EHD - Public
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• John P. Cummings & Assioiates <br /> Environmental Consultants <br /> CHAIN OF CUSTODY PC Box 2847 <br /> Ph (510) 505 0722 Fremont, CA 94536 2847 <br /> Fax (510) 7913306 <br /> Laboratory: <br /> I <br /> 110 2nd Avenue South D-7 - <br /> k", <br /> Pacheco, CA 94553 Contaet: p Sample rt <br /> 510-798-1620 Project Name: J7�, � H°• �YOJZ <br /> Gontaet: Date: l 9G <br /> Analyses Requested <br /> `c a <br /> ` + e4 <br /> Sample I.D. Date/Time Matrix Container Lab- + Q�,1 ,�Q� bD bD J Cufnnrent: <br /> Sampled Desc. Na. of T7p£ t <br /> k �• `'� � / o'er '� i <br /> �- 2- /o 0891 ffi <br /> r <br /> r � <br /> �. 3- r <br /> v � 69117 � <br /> r , <br /> 4. r r <br /> 6. 'AUn <br /> MW-77 <br /> 'D SPACE SENT <br /> 4 10. <br /> i <br /> Relinquished by Date:gib Time:tb� q12 Received by: � -- Date:?4 `4 Time:10•ya <br /> Relinquished b YA <br /> $ r f Date: _l�� Time: received by: 6'r Data., !J Ime: 7oa4 <br /> Relinqu shed y <br /> Date: /-��"9G Time:l4�d <br /> Relinquished by: F- Gate:'J-/7. Tima:,f�:/oq Received by: Atm. <br /> Turnaround Time: w/" <br /> Additional Page /of <br /> Comments: <br />
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