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ARCHIVED REPORTS_XR0009243
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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TOSTE
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2353
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2900 - Site Mitigation Program
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PR0231735
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ARCHIVED REPORTS_XR0009243
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Entry Properties
Last modified
5/8/2020 9:41:28 AM
Creation date
5/8/2020 9:22:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009243
RECORD_ID
PR0231735
PE
2381
FACILITY_ID
FA0003778
FACILITY_NAME
TRACY MARINE SALES
STREET_NUMBER
2353
STREET_NAME
TOSTE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
2353 TOSTE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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LSauers
Tags
EHD - Public
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>• i• i• t� t� t;♦ <br /> d CHAIN 4 t ST <br /> Advance ORECORD F CU <br /> GeoEnvironmental, Inc. Date 0- ZrV Page --L of <br /> 837 Shaw Road - Stockton,California-95215 -(209)467-1006 - Fax (209) 467-1118 2 <br /> Client Prooct Manager Tests cared <br /> 1Au I , �,► <br /> Phone Number <br /> qG Z ! C6 !, <br /> Samplers (Signature) Invoice <br /> Protect Name '� � ACE'� <br /> Ra <br /> ctteClientr ❑ <br /> Sam le Type <br /> Sample Location pate TimeWater Solid No of �q`�` �1J Notes <br /> Number Description Comp crab Air Conts <br /> 14 <br /> 5 Li 111,3 <br /> q6 M <br /> 1 kL,, Ear w ? t lei Y91 ------ l f [' <br /> e qui s a ( �gnatufe Receivedy ignature <br /> Cate/Time <br /> mgwshed by (Signature) Received by (Signature) DaterTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for Haid analysis (Signature) DaterTime <br /> r <br /> Dispatched by (Signature) Date/Time Received for Laboratory by CJ -t DaterTime <br /> �w 4 <br /> 3— <br /> Method of ShipmenLaborato� e <br /> r i <br /> Special Instructions �� .� �' I hereby a orize the performance of the above Indicated work <br />
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