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ARCHIVED REPORTS_MONIT RPTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CHRISMAN
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23833
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4200 – Liquid Waste Program
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PR0516930
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ARCHIVED REPORTS_MONIT RPTS
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Last modified
12/4/2020 9:22:10 AM
Creation date
8/5/2020 10:01:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
MONIT RPTS
RECORD_ID
PR0516930
PE
4242
FACILITY_ID
FA0012932
FACILITY_NAME
NAVARRA BROS
STREET_NUMBER
23833
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25014014
CURRENT_STATUS
01
SITE_LOCATION
23833 CHRISMAN RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\C\CHRISMAN\23833\PR0516930\MONIT RPTS.PDF
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EHD - Public
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UIETZ ENGINEERING AND CONSTRUCTION, INC, CHAIN OF CUSTODY / <br /> Transmit;results to offlce clreclted below: REQUEST FOR ANALYSIS <br /> 33233 South Koster Road,Tracy, CA 95304 RECORD ` 2 G o 6 I I <br /> Voice: (209)832.2910 Fax: (209)833-1288 / <br /> ❑ 1120 Hollywood Ave, No, 3, Oakland, CA 94602Laboratory: C�_��:! -c"4 <br /> Voice(510)336.9118 Fax: (510)336-9119 Carrier, <br /> Prpject; Wayblll No,; <br /> Project No,; ProJeot Mgr, <br /> Sampling Team; 7� ZT% c� <br /> Site Global LD, No,: <br /> 'Sample Type Field 'Worlboodl Dopthto Date Time Analyses Requested Lab,No, <br /> Niunber Palgt Surf,Elov, GW/sample Sampled Snmplod <br /> Crn Z _Q <br /> i <br /> Sample Hazards: Priority: Routine Expedited ❑ Special ❑ <br /> Notes: <br /> CUSTODY RECORD Print Name Com an Date Received TlmeRecelved Data el uished TlmeRolin ulshed Si unture <br /> Originator, E�C� 6 <br /> Received/Relinquished by: . S <br /> Raoelvedl Relinqulshad by: <br /> Received/Relinquisher!by,- <br /> Received <br /> y:Received at Laboratory by: <br /> , <br /> Ray,0/0 <br />
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