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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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VIA NICOLO
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17950
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4200 – Liquid Waste Program
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PR0521836
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ARCHIVED REPORTS_MONIT RPTS
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Last modified
12/4/2020 9:15:18 AM
Creation date
8/5/2020 10:11:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
File Section
ARCHIVED REPORTS
FileName_PostFix
MONIT RPTS
RECORD_ID
PR0521836
PE
4232
FACILITY_ID
FA0002971
FACILITY_NAME
MUSCO FAMILY OLIVE CO
STREET_NUMBER
17950
Direction
W
STREET_NAME
VIA NICOLO
City
TRACY
Zip
95377
APN
20911032
CURRENT_STATUS
01
SITE_LOCATION
17950 W VIA NICOLO
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\4200 - Liquid Waste\V\VIA NICOLO\17950\PR0521836\MONIT RPTS.PDF
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EHD - Public
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Quarterly CHAIN OF CUSTODY <br /> www.fgUnc.com <br /> Laboratory Copy (1 of 3) <br /> 11111111111 in 111111 1111 33273:11/04/2015 TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br /> Client: Musco Family Olive Environmental <br /> Address: Atin:Amanda Devliq <br /> 17950 Via Nicolo -j <br /> Tracy,CA 95377zn <br /> C <br /> Phone: (209)8364600 Fax: (209)836-0853 3 A <br /> v <br /> Contact Person: Amanda Devlin <br /> Project Name: Leach Line Monitoring o a h <br /> Purchase Order Number: <br /> N R N m <br /> Quote Number: U m 3 n <br /> W ¢ y C z 6 <br /> Sampler(U".T' <br /> VvI�JIPS U ` ° o ti� h <br /> va z a <br /> Sampling Fee: Pickup Fee: <br /> o A m — O <br /> Compositor Setup Date:_/_/_ Time:_/_ E a Z p o <br /> m _ <br /> STK 3-11544 uLab Number: 7 v > <br /> Sam Date Time = e — — v E E V 6 N U = 6 _ <br /> P Location Description v � `�, ��,t d o v n E u A c o <br /> Num p Sampled Sampled F S m m 0 f A 3 m�= �$ .`-•', <br /> 1 L-1 G WW 1 I,1,1,1 2 X Sub-1 <br /> 2 L-2 7Ze) G WW 1 1,1.1.1 2 <br /> 3 L-3 •y WW I 1.1,1,1 2 <br /> Remarks: DlDV: Ti nquished 6t ll.Date: CLTime: Relinquished Date: <br /> rime: <br /> IU ` (I-b-l�Un <br /> /4 eceived By: <br /> Dam:: Time: Receiv d By: Date: Time: Received By: Date: Time: <br /> c� l 5 c13r- 11-1 .15 12 G 4th- �UOJ 11-(p-(5 <br /> Corporate Offices&Laboratory aL LaboratoryOffice A Laboratory Office 8 Laboratory o � <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Undo 3442 Empresa Drive, 9415 he tftj <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San We= <br /> C A 1 <br /> Phone:(805)392-2000 Phone:(209)942-0182 Phone:(530)343-5818 Phone:(805)783.2 �S e:(5 7 73 cJ <br /> Env Fax:(805)525-0172/Ag Fax:(805)392-2063 Fax:(209)942-0423 Fax:(530)343-3807 Fax:(805)783-291 Fax:(55 7 3 <br />
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