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Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0545749
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COMPLIANCE INFO
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Entry Properties
Last modified
5/15/2020 10:37:35 AM
Creation date
5/15/2020 10:03:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0545749
PE
2961
FACILITY_ID
FA0025900
FACILITY_NAME
CENTRAL CALIFORNIA TRACTION COMPANY
STREET_NUMBER
305
Direction
S
STREET_NAME
GUILD
STREET_TYPE
AVE
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
305 S GUILD AVE
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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t� 0 �` Z Reference#: 3 Seg <br /> Test_ erg ca TESTAME C San Fran h in f Custody <br /> 1220 Quary Lane • Pleasanton CA 94566-4756 l�(DCD 21 <br /> F HE LkriDER IN ENb'MONWfFNTAL T-ESTINGn Phone: (925)484-1919 • Fax: (925)600-3002 Date Page_L_oRepoli f <br /> To Analysis <br /> Attn: v,-e— m m LL <br /> Company: c� C w S E ❑❑ o o^ ❑d <br /> Address: 1510 Sl�{Gk^'ID ' t l��" N �'N o o ❑ ,. E x 0a e <br /> UJ <br /> { _ arm Q <br /> 7 <br /> Phone: Emeil: Y ytS�v 3f ❑�S N ❑ ` ❑❑ a n,• , J z <br /> h ❑ ' ❑ ww oNo ❑ UY ❑❑ ❑❑ C <br /> Bill To: Sampled By: 1 , °°0°2'0o 0 a �c$ o • ❑❑ ❑ "a L c3 v <br /> G W f U <br /> 13 <br /> Attn: ') rr� Phone: 25"6aV�� g$ w c� "" TL a W W m" ��d b a 3►- _' , E <br /> ❑ F4 ❑ v�❑ o_ �� c3� �❑ 130 ❑❑ ❑❑ z <br /> 30 50,E oC/ <br /> 5Ln <br /> .2 IHL- o <br /> 5- <br /> lyN <br /> / w <br /> ccAPR 11 N <br /> • • •- • 1)Relinquished by: ij, ib 3)Relinquished by: <br /> Projectt Na <br /> #�of Containers: t7Wte ' <br /> —� �C Si nature S' re T e Signature Time <br /> Project#: Head Space: t� rJc; I Wlr✓1� h ON ,I I, <br /> pO#: Temp: 9 ri�nted ame Printe Name Date Printed Name Date <br /> Credit Card: Conforms to record: TI l .=::: � e� <br /> Company Company Company <br /> T 5 3 2 1 tved by: exi y: /k�ro/ 3)Received by: <br /> TDay Day Day Day Other <br /> Report: V Routine O Level 3 ❑Level 4 ❑EDD ❑State Tank nat Ti a �te!-�me <br /> ature Time Signature Time <br /> Fund EDF Ln <br /> Spe r /Comments:--�t91o9a 1'14S 1 � 09 �' �f �I <br /> _ _ Print d Name Date Date Printed Name Date <br /> J l� '� t 4r- <br /> Company Company Company <br /> See Tema rrd C ne <br /> ?estAr*dca SF reports CrC24 Cmdustry—). Def 158 Is cm-Ca <br /> Rev09/09 <br />
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