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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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V
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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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0.1CENVIRONMENTAL Qa►-��wl N CHAIN OF <br /> USTODY <br /> linccong � <br /> LaboratoryC1 of 3 <br /> Yo]��( of 7Mum 11111 - <br /> 33405:08110l2009 1 TEST DESCRIMON - See Reverse side for Container.Preservative and Sawwwling information <br /> Client: Masco FaimW Olive Ekvhvnme" <br /> Address: 17950 Via Nicolo <br /> 'may,CA 95377 a N <br /> V Q+ <br /> Phone: (209)8364600 eat 371 Fax: 0109)836-0853 n <br /> a <br /> Contact Person: Kelly Hagman <br /> Pm�ect Name: � F• ° <br /> Purchase Order Number: <br /> Numbe °/ti�orih[�' �i a rn � <br /> Quote r. +�+ <br /> y e <br /> h <br /> Samplers) i t6ft r Z <br /> Sampiing Fee; Pickup Pee: t <br /> C .o pC Pi 1 <br /> Compositor Setup Date:�I I Time:_!_ m o 0 <br /> Lab Number: .STK 113 <br /> Samp <br /> Num 1 ocatian Description Sampled Sampled <br /> la 16 G ww <br /> L- k Qq�i 10, d tt f r 1 <br /> 1L/ <br /> Remarks: Rel ed Date: Time: Relin ' Date: Time: <br /> 4u quashed Date: Time: <br /> -7111 <br /> Moo <br /> Lh 6 <br /> am <br /> Recoiv Date: Time: ved By: D Time: Received By: ate: Time: <br /> � �l /7&0 <br /> Comarata Offices,a Laborajory Office&Lsboratory �h! Meld Office <br /> 853 Corporation Street 2500 Stagecoach Road 563 E.Lindo Avenue i, �U" Visalia,Caaforrda <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico.CA 95926 e` TEL 5591P34-9473 <br /> TEL:8051392-2000 TEL:2091942-0182 TEL:530!343-5818 �1� Mobile:5591737-2399 <br /> FAX:8051525-4172 FAX:209!942-0423 FAX:5301343.3807 FAX:559!134-8435 <br />
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