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ARCHIVED REPORTS_2011 QUARTERLY INSPEC AND SEPTIC SAMPLING
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4200 – Liquid Waste Program
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PR0516930
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ARCHIVED REPORTS_2011 QUARTERLY INSPEC AND SEPTIC SAMPLING
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Last modified
12/4/2020 9:22:10 AM
Creation date
8/5/2020 10:01:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
2011 QUARTERLY INSPEC AND SEPTIC SAMPLING
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\2011 QUARTERLY INSPEC AND SEPTIC SAMPLING.PDF
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EHD - Public
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` <br /> UiET21~NCINRERINC AND CONSTRUCTION, INC. X i LQ-1OCoCHAIN OF CUSTODY / <br /> Ti-imsmit,results to office checked belovvr ,REQUEST FOR ANALYSIS <br /> M <br /> 33233 South Koster Road,Tracy, CA 95304 RECORD <br /> Voioa(209)832-2910 Fax: (209)833-1288 <br /> O 1120 Hollywood Ave:No, 3, Oakland,CA 94602 Laboratory; _(�7e-- Z� <br /> Voloe(S10)336.9118 Fax: (510)336-9119 Carrier; <br /> Pmjeot'. C ,. ��Z C ��c �. ) Waybill No, <br /> Project No.,, Projeot Mgr. <br /> Sampling Tea , S s ,o <br /> m <br /> Site Global LD, No, <br /> Analyses Requested Lab,No, <br /> Bnmpie Type Mold 'Wellltood/ •Doplh to We Tlmo �' 9 <br /> Number Pelgt 8wf.Zlev, (; W/snmple sampled 6mmplod. <br /> U <br /> C <br /> N <br /> N <br /> O <br /> f0 <br /> O <br /> J <br /> 16 <br /> V <br /> T <br /> C <br /> Q <br /> O <br /> N <br /> Priority,, Routine Ck axpedited O 6peafal D <br /> Sample Hazards <br /> Notes: � �f w lZ,..�� � <br /> CIIi3'MY CORD Print Name otn a Date Received Time Received Date RetlTimo Re! wished Signature <br /> originator ::;t <br /> Receiw&RWinquishedby, . ���� 1�'ln(Oi <br /> Received/Rellaquished by: <br /> EL <br /> Reoeivod/Relinquished by; <br /> o <br /> Recelved at Laboratory by; r Roy,0/0 <br /> N ' <br /> N_ <br /> N <br />
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