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Environmental Health - Public
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EHD Program Facility Records by Street Name
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VANDERBILT
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1153
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3500 - Local Oversight Program
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PR0545788
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Entry Properties
Last modified
6/15/2020 12:03:50 PM
Creation date
6/15/2020 12:01:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0545788
PE
3528
FACILITY_ID
FA0003617
FACILITY_NAME
CAL WEST CONCRETE CUTTINGS INC
STREET_NUMBER
1153
STREET_NAME
VANDERBILT
STREET_TYPE
CIR
City
MANTECA
Zip
95337
APN
22119031
CURRENT_STATUS
02
SITE_LOCATION
1153 VANDERBILT CIR
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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CHAIN OF CUSTODY RECOR ' z6o <br /> PROJ.NO. NAME t7 <br /> —91-441 S (153 UANoeKBIL_T OF. MANT6M _kV <br /> SAMPLERS: . <br /> SAMPLER1 Q����h <br /> Z, REMARKS <br /> CON. <br /> TAINER <br /> .3 W' <br /> NO. DATE TIME tp ' LOCATION '\ <br /> t 7/91 1115 1-`°✓—t 2 1 ✓ `/' <br /> t/ ✓� ✓ <br /> 3 YT/71 It 2—w <br /> A <br /> Relinpuished by: lsipne rel Date/Time Received by: lSiyn.rvr.l Relinquished by: !S/pn.rur.l Date/Time Receive by: lS;pnanm) + <br /> O <br /> 1 9 t 163 <br /> Relinquished by: !Signature) Date/Time Receive y: lS;ynae Relinquished by: (Signature) Date/Time Received by: lSiyn.nrr.! <br /> rvr <br /> Relinquished by: lsign.rvre! Date/Time Received for Laboratory by: Date /Time Remarks <br /> lS;gn.rv,e) N` T. A <br /> SOIL TECH ENGINEERING <br /> SDi4 Foundation and Geological Engineers <br /> •298 BROKAW ROAD, SAMA cWAe C� 95050 ■ (408)866-0919 X (415)791-6406 <br />
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