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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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1033
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3500 - Local Oversight Program
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PR0544230
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Last modified
3/5/2019 8:23:59 PM
Creation date
3/5/2019 3:50:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544230
PE
3528
FACILITY_ID
FA0003829
FACILITY_NAME
VANCO TRUCK-AUTO PLAZA
STREET_NUMBER
1033
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16323041
CURRENT_STATUS
02
SITE_LOCATION
1033 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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Advanced CHAIN OF CUSTODY RECORD <br /> ' GeoFnvironmental, Inc. Date o3-z 43 Page orCDCDN <br /> 037 Shaw Road-Stockton, Cal ifomla-95215-(209)467-1006-Fax(209)467-1118 W <br /> Client rP� 3 -ISS, <br /> Project Manager CS <br /> C VQ <br /> Tests Required OD <br /> Phone Number <br /> Z9� Yb 7 a N <br /> CD <br /> Samplers: (Signature) Q lInvoke: rn <br /> � <br /> Project Marne 0 AGE '1 <br /> C U Gt�,� Client i J <br /> Sample Location Sample Type No,of \ •J _ <br /> Number Description Date Time Water Air Solid Corns. Notes <br /> Comp. drab. <br /> s rr3c�sp;:�� � ; BR�ss • <br /> azo-0 a �v <br /> ANI <br /> SAM a <br /> �3 s� ol AJ en xpiafe � 3 9 . <br /> G) <br /> r �c�prl� o <br /> Oil- A^JA� 3-z Q•Q �r <br /> 1 Q f r <br /> Z <br /> O r t7 � r <br /> -FTe,n �r B y �9 atufe ecewey; ignature /� t tleta(Time <br /> Will 7, <br /> Relinquished y,(Signature) ' r .7'2 •0 1' <br /> Reaelved by: (Signature) Vete(rime <br /> Relinquished by; (Signature) Recelyed by Mobile Laboratory for field analyala:(Signature) <br /> DatelTima <br /> Dispatched by:(Signature) DateJTime R4001VOd For aboratory by: <br /> Dale/Time <br /> Method of Shipment: 4- 6?, f2 <br /> Laboratory Na , 49 r > <br /> C ��Z 1 r! <br /> Spacial instructbnsr I hereby authorize the performanoe or the above indicated work. m <br /> F AGS <br /> Zai y6 kr3 � . <br />
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