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SR0085874_SSNL
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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SR0085874_SSNL
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Entry Properties
Last modified
11/19/2024 10:19:58 AM
Creation date
10/12/2022 3:43:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0085874
PE
2602
FACILITY_ID
FA0007821
FACILITY_NAME
ARCO & AM/PM
STREET_NUMBER
7500
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
25015018
ENTERED_DATE
10/5/2022 12:00:00 AM
SITE_LOCATION
7500 W ELEVENTH ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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PNIIIN�),�r`1F;(�1'tht ,�� At�Klf r'LTt�I?Al• <br />Babcock Labo.,atclries, Inc, <br />Subcontract Chaim! of Custody <br />CLIENT RETAILS: <br />Client: FGL Environmental <br />Address:_ 853 Corporation Street <br />Santa Paula. CA 43060 <br />Phone: (805) 392-2000 Fax: (805).525-4172 <br />Project: STK2252086 (3016608) <br />Contact Person: Cindy Aguirre <br />REPORT INFORMATION: <br />Rush Analysis: ❑5 days ❑4 days ❑3 daysF12 days n24 hours <br />Electronic Data Transfer; No <br />If yes, To: State Client: _ Other <br />REMARKS: Sent From FGL Lab ST <br />o <br />'Run TB ONLY if needed.... <br />C? <br />u <br />L <br />0 <br />z <br />w <br />SAMPLING: <br />�_ <br />c <br />es <br />1 <br />Sampler(s) <br />u <br />o <br />wc� <br />"' <br />© <br />W <br />a <br />a <br />peter Racca <br />_ <br />p <br />h z <br />o <br />o <br />> `n m <br />`o <br />Ft' <br />. <br />c <br />rx <br />n, <br />a <br />m <br />y <br />�i <br />a <br />E <br />w <br />G <br />o m <br />U <br />o <br />E? <br />3 3 <br />in <br />C7 <br />vv <br />y <br />Z <br />Q <br />vO <br />a <br />w <br />c <br />a <br />w <br />o e7 <br />o <br />0 by fl <br />V E <br />3 <br />vJ <br />> <br />a� <br />r4 <br />,`a <br />a <br />`a 17 <br />3 <br />�n <br />d <br />M <br />c <br />° <br />CLO <br />u <br />SaFnplc <br />Location/Description <br />Date <br />Time <br />Number <br />Sampled <br />Sampled <br />E- <br />V, <br />1 <br />Travel Blank <br />8/24/22 <br />1110 <br />G <br />LBW <br />X <br />2 <br />Public Well <br />8/24/22 <br />1110 <br />G <br />DW <br />X <br />CIJSTOD'Y: - <br />Relinquished by: Date: °rtel Time. Relinquished by: _ •.. Date: Time: <br />Receive by: Mile:Time: <br />�,Received by: � I.iatc: Time: <br />
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