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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ANDERSON
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2900 - Site Mitigation Program
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PR0517512
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Last modified
11/1/2018 6:59:48 PM
Creation date
11/1/2018 3:14:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0517512
PE
2960
FACILITY_ID
FA0013476
FACILITY_NAME
FTG CONSTRUCTION MATERIALS, INC
STREET_NUMBER
925
Direction
W
STREET_NAME
ANDERSON
STREET_TYPE
ST
City
STOCKTON
Zip
95202
CURRENT_STATUS
01
SITE_LOCATION
925 W ANDERSON ST
P_LOCATION
01
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Advanced CHAIN PF PUSTODY RECOR o <br /> GeoEnviroamental, Inc. DateVIA W � —°� <br /> B37 Shaw Road-Sttsoklah,Callt0i7tla• 98215-(202f497.10(18-Fax(2091"7-1118r,13[ Q� <br /> 0`5 — �J V m <br /> Client P <br /> Tt;fsta Required N <br /> f4C7 I" <br /> P kiBf N <br /> (Signawre) irnoice: <br /> ^f-� <br /> Project Name A�F r� t 1" 1 �/ � <br /> Jr F <br /> SNTVW Type <br /> NNumber Description Date Time yy Alr Solid No. <br /> Notes <br /> Camp. Areb, <br /> 12 <br /> L 17153l j <br /> (t 169 -- 312 <br /> r <br /> C)J <br /> b �4 <br /> elrn OneRQaalVW4 br! 9 ere <br /> rrw <br /> Re nyefsh :; t etur - eked by:(alsnalwel eft{mo <br /> Ret;nqu ed by:; pnature) - caivod by M01119 Laboratory tD wLtW analysis:(Slpnatun)- nab�Tima <br /> DOB(Ohed by: (6111MRIU el Race me wwse r t Dat./it s <br /> L _Zy.at 9•a z <br /> D Nash od gT'9�i'pl: tato R r6� <br /> N� special Insuuednns: I hereby auihorl the ertormanee of the ooe Indicated work.6 <br /> m <br />
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