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ARCHIVED REPORTS XR0001107
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CHARTER
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1045
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3500 - Local Oversight Program
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PR0544231
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ARCHIVED REPORTS XR0001107
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Entry Properties
Last modified
3/6/2019 4:47:21 PM
Creation date
3/6/2019 2:09:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001107
RECORD_ID
PR0544231
PE
3526
FACILITY_ID
FA0023968
FACILITY_NAME
NOMELLINI CONSTRUCTION CO
STREET_NUMBER
1045
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16323040
CURRENT_STATUS
02
SITE_LOCATION
1045 W CHARTER WAY
P_LOCATION
01
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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f <br /> Advanced CHAIN OF CUSTOAECORD � <br /> GeoEnvironmental, Inc. Dace `- Page --L of <br /> 837 Shaw Road-Stockton, California- 95215- (209)467-1006- Fax (209) 467-1118 <br /> Client Q Protect Manager <br /> Tests Required <br /> Phone Number <br /> Samplers (Signature) - � Invoice <br /> Protect Name ` <br /> G <br /> L�(V 1�...� l ✓1 I �YZ�`r��lC-�r L�Y� � ��� i � AGE ,,��--,,,�� <br /> Client'�� <br /> Sample Location Sample Type <br /> Number Description Date Time Water Solid No of / <br /> Comp Q►ab Air Conts Notes <br /> ft <br /> S y , � <br /> 6&119 fl <br /> -- �� <br /> -5-111 <br /> �ne y ( ignature) Rece1ve y (signature) <br /> 71 DaielTime <br /> Relinquished by (Signature) Received by (Signature) <br /> Lfsan�M <br /> Date/Tim <br /> Relinquished by (Signature) Received by Mobile Laboratory for held analysis (Signature) <br /> DatalTIme <br /> Dispatched by (Signature) DatelTima <br /> lReceivod for Laboratory by DatelTims <br /> Method of ShipmentL01 '6ebo tory N t�~ry4 , <br /> I �, ` " �C% <br /> Spacial Instruction,, I hereby authorize the performance of the above Indicated work <br /> 7 <br />
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