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ARCHIVED REPORTS XR0000731
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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B
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BEVERLY
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104
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2900 - Site Mitigation Program
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PR0540667
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ARCHIVED REPORTS XR0000731
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Entry Properties
Last modified
2/8/2019 10:06:29 AM
Creation date
2/8/2019 8:26:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000731
RECORD_ID
PR0540667
PE
2960
FACILITY_ID
FA0023252
FACILITY_NAME
WELDON CHURCH PROPERTY
STREET_NUMBER
104
Direction
W
STREET_NAME
BEVERLY
STREET_TYPE
PL
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
104 W BEVERLY PL
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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M MW =1 <br /> CHAIN OF CUSTODY RECORD 03 <br /> Advanced <br /> GeoEnvironmental Inc. �V °at$ � Page � �� <br /> 4005 North W((son Way-SIOCkton,Califomia-95205-(209)467-1006-Fax(209)467-1118 <br /> Cr <br /> Client Project ana Test equired M <br /> n <br /> Az <br /> Pi one-Number w <br /> Sa : (Si tura) Invoice: 0 <br /> AGE . <br /> Project Name Client ❑ <br /> Sample Type <br /> Sample Location N0'Date Time Water Solid s Notes <br /> Number Description Comp, Orab. Air Conte, ZOa an /13 <br /> EO <br /> AIL14-1 l<k 0 <br /> pm <br /> + l <br /> ►( if N ntee O1 <br /> „�' � (t ��. � 1l �••�� � ��ke ��-AUC <br /> 26721 <br /> r- r <br /> 2.6 7 2.2 , <br /> e in s e Sig elure tr .2.6.723 <br /> Rived b : (Signature) L67L4 Re1 <br /> �r <br /> r 1 <br /> Rslingwshed by: {Signature) Received by Mobile Laboratory for field analysis:(Signature) 26725 <br /> Dispatched by: (Signature) Doteltims Received for Laboratory ��•� <br /> Laboratory Na <br /> Method of ShlprneniD t: UQ 081G METALS OTHER <br /> �' <br /> Spacial instructions: r+��hC"1�����N�r.. I hateby authorlx7?L srto nee o1 the • ve Indic ed work. N <br /> GOOD SrUI !Y PPROPRIATE j <br /> UIRVILrafffiT <br /> /�✓ _ •M <br />
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