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Environmental Health - Public
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EHD Program Facility Records by Street Name
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ZUCKERMAN
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2121
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2900 - Site Mitigation Program
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PR0515580
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Entry Properties
Last modified
9/14/2020 3:38:21 PM
Creation date
9/14/2020 3:14:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
PR0515580
PE
2960
FACILITY_ID
FA0012230
FACILITY_NAME
MCDONALD ISLAND GAS STORAGE FAC
STREET_NUMBER
2121
STREET_NAME
ZUCKERMAN
City
HOLT
Zip
95234
CURRENT_STATUS
01
SITE_LOCATION
2121 ZUCKERMAN
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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(PI SM 0- IZ�74_5 <br /> CHAIN OF CUSTODY RECORD <br /> Pacific Gas & Electric Company <br /> Ir 3400 Crow Canyon Road, San Ramon, California 94583 <br /> (510) 820-2000 All= <br /> - I-- --I I Page of <br /> Job Number: G C ProjectProject Manager: <br /> �(d -Fs 1"'e A E( <br /> Samplers- (Signatures) Field Team Leader: <br /> K <br /> SAMPLE SAMPLENO. <br /> NUMBER DATE TIME TYPE SAMPLE INFORMATION OFI REMARKS CNTRS. <br /> # L)— ii k4L." /0 tA gx S VJLIY/YW) <br /> ,xp 2- <br /> < 3 <br /> d,71 <br /> W! <br /> Relin hed By:?tgnafurej Date i e Received By:(Signature) _UaWTime Ship Via <br /> Received By (Signature) <br /> Relinquished By:(S nature) Date/Tme: Received By:(Si e) Date/Time: <br /> BUArbill Number Date. <br /> ed �ture) <br /> Relinquished B nafure) Date/Time: ReceivV J4� oat ime <br /> 172,571 <br /> DISTRIBUTION: Original Accompanies Shipment;Canary Copy to PG&E;Pink-Sampler NOTE: amples ar carded 30 days after results are reported unless other arrangements are made. 60006997/GlfTI97 <br />
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