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ARCHIVED REPORTS XR0000667
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CAPITOL
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6421
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2900 - Site Mitigation Program
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PR0522496
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ARCHIVED REPORTS XR0000667
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Entry Properties
Last modified
2/15/2019 10:16:01 PM
Creation date
2/15/2019 3:18:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000667
RECORD_ID
PR0522496
PE
2957
FACILITY_ID
FA0015317
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95245
APN
05532024
CURRENT_STATUS
02
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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( Advanced CHAIN PF PUSTODY RECORD <br /> GeoEnvironmental, Inc. Date Page 9 or <br /> 837 Shaw Road - Stockton, California-95215- (209) 467-1008 - Fax (209)487-1118 <br /> Client P-padmana <br /> i T uired <br /> P ne rqjmber <br /> 1'a7 <br /> Sam (S ure) Invoice <br /> Project Name AGS <br /> Client ❑ <br /> Sample ocation Sample Type <br /> Number Description Date Time Water Ali Solid o of Noes <br /> Comp Grab <br /> /493 <br /> elinqu a natur ) ecei e y igna4ure <br /> te/rima <br /> Reiinq fished by {Signature) Received by (Signature) <br /> Datefrime <br /> Retinquished by (Signature) Received by Mobile Laboratory for flefd analysis (Signature) <br /> datafrime <br /> Dispatched by (Signature) Date/Time Rece a boratory <br /> Data/7ime <br /> Method of Shipment Laborat N e <br /> Special instructions I hereby bonze a perform nee of t e a ve indicated work <br />
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