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COQXZNQTU
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2500 – Emergency Response Program
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COQXZNQTU
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Last modified
3/4/2021 1:04:43 PM
Creation date
3/4/2021 12:43:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2500 – Emergency Response Program
RECORD_ID
COQXZNQTU
PE
2546
STREET_NUMBER
800
Direction
E
STREET_NAME
PESCADERO
STREET_TYPE
AVE
City
TRACY
Zip
95304
APN
21307066
ENTERED_DATE
6/18/2020 12:00:00 AM
SITE_LOCATION
800 E PESCADERO AVE
RECEIVED_DATE
6/18/2020 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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CASTLE ANALYTICAL LABORATORY � (.Q �� v 7 2 j 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: 167 <br /> o REQUESTED ANALYSES Method of Shipment: <br /> ddress: <br /> t <br /> Lu <br /> Ci /State/ZIP: � 2 N c o a Notes: <br /> N W <br /> Phone/ FAX: U 2 s 0 N N ; z <br /> Proj#/ PO#/Global ID: n <br /> a <br /> J a j C¢`J W .� C:) <br /> t i <br /> o_ <br /> _ W m O O <br /> Report Attention: � < ; s o (0 � w <br /> 03 <br /> Sampler Signature: a - �_ Co a < o <br /> Sampler Printed: <br /> �J.� Cf 0 <br /> W F W <br /> Lab ID# SAMPLE ID DAT TIME DESCRIPTION/LOCATION OBSERVATIONS/REMARKS <br /> Z Zv11411 <br /> Total number of containers <br /> Signature Printed Na a Datq Time Company Name I submitted to the laboratory <br /> Relinquished Z �� Turn Around Time: <br /> Received by: -(i <br /> i l 24 Hour 0 <br /> Relinquished by 48 Hour <br /> Received by: 3 Day <br /> Relinquished by: 5 Day (Normal) <br /> Received by: Special: <br />
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