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ARCHIVED REPORTS XR0010685
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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749
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3500 - Local Oversight Program
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PR0544218
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ARCHIVED REPORTS XR0010685
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Entry Properties
Last modified
3/5/2019 11:45:15 AM
Creation date
3/5/2019 10:43:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010685
RECORD_ID
PR0544218
PE
3526
FACILITY_ID
FA0003870
FACILITY_NAME
SRH FOOD & GAS
STREET_NUMBER
749
Direction
E
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
14734309
CURRENT_STATUS
02
SITE_LOCATION
749 E DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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WNg
Tags
EHD - Public
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tt�l■ twt. it ■tom � �� � � rrl�a <br /> e A Lab Report# [-V � <br /> ; , <br /> - -. GeoAnalytical Laboratories, Inc. <br /> Regulatory ❑ Yes ❑ No <br /> 1405 Kansas Avenue phone (209) 572-0900 Regulator <br /> Modesto, CA 95351 Fax (209) 572-0916 <br /> Phone ( ) 5;v 7 -/2 <br /> Cllent C 55R1j (0dJ4tt16k6eo4 OFC STODY Fax ( ) <br /> Address -7 41,? <br /> „C'��ig�T � d��f'J,U^� ��� � To J0 n/ <br /> City S"1�OGK�t?i�r G'A' zip <br /> Project ID 6 CA(Ar L Lab Use Only <br /> (Pant Name) g cij w <br /> Sampled By \Fq-�0 <br /> Container Q <br /> s~ <br /> Sample type Lab ID# <br /> Date Time Sample ID <br /> Crab Comp KI unx I)pe Size 'w <br /> INIZ— S' -- V W4 L,c 7- P Xj l Remarksk /00 j 00/ <br /> /� / — k.r' / U <br /> tl�tttul., <br /> I <br /> IZLImquuhLd by(Sign-ihin,) DdtL riML y S-flatur Dat, rnrn <br /> ZCV01 <br /> I-IM10 J�j <br /> 1Wm(JuiSIALd h) (Signature) DAL Tune Rc11IVLd by(Sign tire.) Dd[l Tlml. <br /> Preservative @-40C (0-HCI (@-NaOH ®-Na2S203 D-HNO, &H2S 04 7Q-Other ®-Other <br /> Site Time �] q 5 Dnving Time n/� � L total hours <br /> Start / Finish Total Hours Start ��ttJ(J( Site Arrival x2= <br /> Mileage. � Z r �� Approved By: <br />
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