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ARCHIVED REPORTS_XR0007566
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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TRACY
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3425
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3500 - Local Oversight Program
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PR0545737
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ARCHIVED REPORTS_XR0007566
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Entry Properties
Last modified
6/8/2020 11:33:48 AM
Creation date
6/8/2020 9:55:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007566
RECORD_ID
PR0545737
PE
3528
FACILITY_ID
FA0003627
FACILITY_NAME
ARCO 02093
STREET_NUMBER
3425
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21418020
CURRENT_STATUS
02
SITE_LOCATION
3425 TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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_ SEQUOIA ANALYTICAL SAMI'L , RE LOG <br /> rn ia- rir�r o - ..+. •r• ��r 1YYI J/l <br /> I <br /> CURNT NAME RS ATF.Recened at 1-rb /y (� (Drinking water)for <br /> BEC BY(I RhNT) TIAM Retancd at Lab. reguhitor} pui puscs Y <br /> 1yf}Itli;011gN,R, t7D LOG LN DATE: € (WRste%a(et)fur <br /> .,_ <br /> regulatory purposes: YE O <br /> (.r WLF.TH R APPROPItIJYPrr 119SPONSH LAH SA6MPL+' DATE <br /> SAMPL tl It CLIENT ID D,ESCRIP'i m mATjzrx SAMPLED CONDITION(ETC.) <br /> I Custody Seal(s) Present bsoa .- <br /> Intact I rolcofi <br /> 2 Cleans-o€Ltis!F rest 1 Absent* p <br /> 3 Traffic Reports or �- <br /> Packing fos€. Presen Absen - <br /> 4 Airbill AirbiIi er N <br />� Present Absen <br /> 5 Airbilf <br /> i 6 Sawn lef.abols' Arnont/Absent <br /> 7 Sample IDs- is 1 Not Listed <br /> Oil Laic-of-Custod <br /> 8, Sample ConditionnI L Broken*f <br /> � mg• l <br /> 9 Docs mformation on <br /> custody reports,traffic <br /> i <br /> f reports acid samplo i <br /> labels-ogm7 cs No" <br /> 10 Swriple recelvod witlnn <br /> hold bine s Nom <br /> l l Proper i'reccrvatwes <br /> i <br /> used ANo-1 <br /> i <br /> 12 Temp Rec at Lab. t o <br /> Lr(Arc:eptaxce range for samples <br /> gin iliemtal res d V--2°C Yes I No* <br /> M <br /> fff Circled,contact Project team. er and aftacle lecord of resolution. <br /> g <br /> Saaipto Roodpt Log <br /> Revision 21(111€0104) <br /> Replaces Revtslon 2(1UM00) Page of <br /> [304;tw 11117JDG <br />
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