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ARCHIVED REPORTS_XR0008007
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_XR0008007
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Entry Properties
Last modified
6/8/2020 11:25:43 AM
Creation date
6/8/2020 10:11:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008007
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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LSauers
Tags
EHD - Public
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Page of <br /> Chain of Cu tod%keeord on-site Time T 'Oax)m Temp 0! J> <br /> Pro'ect Name �� ,�9 �t t T� � � oft-site .,Tune Y - Temp <br /> BP BU/GEM CO Portfolio: iWFJ ( ,aAjT PP P wjT Sky Condtions <br /> BP Laboratory Contract Number- eteorological Events d <br /> Date: ' Requested Due Date(mm/ddlyy) nt�; j a�� ;Q-:�� Wind Sp&d Duectron <br /> Send To: BP/GEM Facility No d <br /> Consultant/Contractor <br /> j 77 <br /> Lab Name .(,r 1 AV BP/GEM Facility Address 3 i a,� c A CAddress ,I d 9 70 rt F J- em'V DA kS , <br /> Lab Address f3ARok d Site ID No 100 6A4. <br /> H�11 , C 25-03-7-7 Site Lat/Long -mail EDD VC <br /> California Global ID# Consultant/Contractor Project No ` D , jvp <br /> Lab PM A"" ),) r- T- BP/GEM PM Contact Consultant/Contractor Tele/Fax • �of} <br /> Tele/Fax' - U�� Address Consultant/Contractor PM :,:1~d2 O Q; E ' <br /> Report Type&QC Level Invoice to, Consultant/Contractor or /GI (Circle one) <br /> BP/GEM Account NoTele/Fax P/GEM Work Release No <br /> Lab Bottle Order No Matrix Preservatives Requested Analysis <br /> d <br /> Itemy Sample Point Lat/Long and <br /> No Sample Description Time Laboratory 1Vo, o Comments <br /> 0 O N N <br /> O r GO 00 i <br /> O � h <br /> 21 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 101 IHI <br /> Sampler's Name f �_ s r �'� Relinquished By 1 AMliation IlDste- Time Date cApthn <br /> Sampler's Company <br /> 1 1 <br /> Shipment Date - <br /> Slu ment Method <br /> Shipment Tracking No <br /> A <br /> Special Instructions <br /> Custody Seals In Place Yes No Temperature Blank Yes No Cooler Temperature on Receipt °FIC Trip Blank Yes No <br /> CON SULTANTICONTRACTOR BP COC Rev 1 215102 <br />
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