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ARCHIVED REPORTS XR0011193
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DR MARTIN LUTHER KING JR
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701
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3500 - Local Oversight Program
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PR0544217
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ARCHIVED REPORTS XR0011193
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Entry Properties
Last modified
3/5/2019 12:19:04 AM
Creation date
3/4/2019 4:40:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011193
RECORD_ID
PR0544217
PE
3526
FACILITY_ID
FA0002512
FACILITY_NAME
GSG GAS & MART
STREET_NUMBER
701
Direction
E
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
14734311
CURRENT_STATUS
02
SITE_LOCATION
701 E DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Advanced --OHAIN OF ., T0D REv�jSRD <br /> � <br /> - = GeoEnvlronmental, Inc. Date ti-7-6q Wage of <br /> 837 Shaw Road - Stockton, Californla- 85215- (209)457-1008- f=ax (200)487 11 <br /> s <br /> Client 4 C1� P <br /> l � i Tests Rec -ed <br /> AV <br /> Samrlars (Signature) fl����'ti� Invoice <br /> Project Name ACE <br /> CTent ❑ <br /> Sample Location nmrle Typa <br /> Number Description Date Tams Water Solid Ivo °f Nates <br /> Comp Grab <br /> Ir �OntS <br /> Z7 <br /> AJ \D� ( <br /> ,w7 <br /> X X W <br /> X l XI YK A KI 1 <br /> _ <br /> , <br /> e in uis e y ignature eceive y ignaturc i /! ID toI i e� <br /> (,,�i <br /> Relinquished by (Signa ure) Received by (Signature) Oats erne <br /> Relinquished by (Signature) Received by Mobile Laboratorl for field anal, 4 (Ss n.-W, TA ` j DatorTime <br /> Dispatched by (Signature) DatelTime Azov Zd- 1c LL')crL tory¢y `-effime <br /> & cyz" _ _ + <br /> _ _ <br /> Method of Shipment oratory Name � <br /> CCJ 49 J C'o 0— <br /> Special Instructions �l _l/ I hereby authorize the performance of the above indicated work { <br />
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