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REMOVAL_2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0542684
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REMOVAL_2019
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Entry Properties
Last modified
9/14/2020 8:12:30 AM
Creation date
9/9/2020 11:31:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2019
RECORD_ID
PR0542684
PE
2361
FACILITY_ID
FA0024559
FACILITY_NAME
CITY OF TRACY -NEW DISCOVERED TANK
STREET_NUMBER
729
Direction
N
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
729 N CENTRAL AVE
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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CASTLE ANALYTICAL LABORATORY CHAIN OF CUSTODY <br /> Location: 2333 Shuttle Drive, Bldg 908/909, Atwater, CA 95301 Certificate No. 2480 <br /> Mailing Address: 2333 Shuttle Drive, Atwater, CA 95301 PAGE�OF� <br /> Phone: 209 384-2930 - Fax: 209 384-1507 <br /> Customer: o REQUESTED ANALYSES Method of Shipment: <br /> t)6 s <br /> Address: 8 <br /> _ w <br /> a x oz Notes: <br /> City/State/ZIP: f;r� w G Z u m o <br /> Phone / FAX: Z it S. m m ' _ - o <br /> - n <br /> < <br /> N U = U <br /> Pro'# / PO# /Global ID: &0 S?A J a ° <br /> a w 0 <br /> Report Attention : < = r`n a o w m <br /> a- Ma m m a - w <br /> Sampler Signature: o i <br /> Sam ler Printed: <br /> Lab ID# I SAMPLE ID DATE TIME DESCRIPTION/LOCATIONOBSERVATIONS/REMARKS <br /> Q � �b or t0-lB-LS l [; t S m I �oLl] <br /> - - -- - I oz num ro contaners <br /> Si nature Printed Name Date Time Com an Name submitted to the laboratory <br /> Relinquished by: � iv��+ Turn Around Time: <br /> Received by: i 13`�� 24 Hour <br /> EJ <br /> Relinquished b 48 Hour <br /> Received by: 3 Day <br /> Relinquished by: 5 Day (Normal) <br /> Received by: Special: <br />
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