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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0543466
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Last modified
2/6/2019 1:45:15 PM
Creation date
2/6/2019 1:18:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0543466
PE
3528
FACILITY_ID
FA0004942
FACILITY_NAME
MATAGA OLDS BUICK INC
STREET_NUMBER
880
Direction
S
STREET_NAME
BECKMAN
STREET_TYPE
RD
City
LODI
Zip
95241
APN
04925026
CURRENT_STATUS
02
SITE_LOCATION
880 S BECKMAN RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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CHAIN-OF-CUSTODY <br /> y El1493 <br /> � ^y � 21663 Brian Lane � ]125 N Golden State Blvd., Suite H El1 108 C Airport Blvd, <br /> P.O. Box 3095 / ` P.O. Box 3448 P.O. Box 30035 <br /> Sonora, California 95370 Turlock, California 95381 Pensacola, Florida 32503 <br /> (209) 532-0361 (209) 668-9234 (904)477-0454 <br /> FAX (209) 532-0773 FAX (209) 668-9248 FAX (904)477-0534 <br /> SHIPPED TO: r ` SEND RESULTS TO: <br /> PU rV�rG�� 1 G�� NAME: ilke5UJ-C"�. <br /> OFFICE: a <br /> I <br /> ❑ PLEASE FAX RESULTS: PROJECT: . NAI 66 0/ SMd,, e aldl`�IL <br /> PROJECT NO. NO.1 J Verification <br /> 5 Qof X411' <br /> SAMPLED BY: con- V�, coQ` <br /> (Signature) fain- <br /> Date Time Sample ID ers REMARKS : MISC. <br /> 70.- 11'125' 05-Q - —c-v / a,g 1 c 10.x. f; �at3 7 <br /> 7-11-2-5 )13Y Iy54_ r.f 611 /1 Jl 11 /1 <br /> -Relinquished=By;= T �:- T -Date .Timer. _- Received-By: A <br /> (Signature) . /'� 7 1 (Signature) �X� [ <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) '` <br /> Original-Send Yellow-File Pink-Log Book GAROLI GRAPHICS(2091527-3067 FORM J692 <br />
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