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ARCHIVED REPORTS XR0000692
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 XR0000692
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Entry Properties
Last modified
2/15/2019 8:45:35 PM
Creation date
2/15/2019 4:12:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000692
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
Scanner
WNg
Tags
EHD - Public
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i • i <br /> CUSTODY RECORD � 33 <br /> IGO <br /> CHAIN OF <br /> Ad1�ai�ceL� Date Page -- -��- -- 49 <br /> CID :3 <br /> - <br /> " GeoEnvn-onra ntal, Inc. <br /> 40CS North Wilson Way-51o�klon California-95205 (2D91467 1 Cob-Fax(2t?9)dS7 1116 <br /> Q n <br /> Client Project Manager NobTestsRequired w� c) <br /> Client <br /> F-1 ,w - <br /> Phone Number yf / f �' s' <br /> 4 / <br /> Samplers (Signature) $'Xf / / / / / / Invotce <br /> ale AGE JN <br /> Project Narne 1 r r I , ►I f/�� �� / / / / Client ❑ <br /> Sample Type <br /> Sample Location Solid No of / 0� / `�`i� ` / Notes <br /> Date Time Water <br /> Number Description Comp Grab plr CvntS % , C-, <br /> 1'S—�5 �al+tij IVo e 13 <br /> !� �f 4Ta <br /> `3 <br /> IF- <br /> V5 <br /> i +I — f' <br /> 2 R { A <br /> ! J" 1 ra �D t5 ,nnl���?to t!ti 13 -1 'c�•�?O L> r, (��( <br /> CD <br /> pl'� -ypro9 � �� �o _ -�- tIr� <br /> x <br /> _ o <br /> rco <br /> 11 .' '� c <br /> 1 <br /> � �� r, r r [• � ^` ,0 r CJ cut (lime i <br /> PI e qurs+tr f U gna lira ac�rve y { rgnalure, 5 T �D D 0 <br /> A l• <br /> �'� A � 5 .w <br /> G tel7ime <br /> Reiinquishad by- ( ignalure) Raeeltied by +Signature) <br /> Oata/TIMS <br /> itehnqurshad by- (Signalurc)� Re cl a Mobi to lar for treld analysts (Si natureD <br /> - - a elivne I of bora ry OalelTirna <br /> Dr�palchsd by (XStgnattre) (( q n <br /> Lab y Name <br /> Method of Ship"- Anent �l+ kc- <br /> i hereby aalhoriza Iht perlormance of the above indicated work ` <br /> S9eaiel Instructyons ,f 's <br />
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