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ARCHIVED REPORTS XR0002723
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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HARDING
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140
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3500 - Local Oversight Program
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PR0544425
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ARCHIVED REPORTS XR0002723
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Entry Properties
Last modified
5/6/2019 3:00:43 PM
Creation date
5/6/2019 2:54:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002723
RECORD_ID
PR0544425
PE
3528
FACILITY_ID
FA0006249
FACILITY_NAME
VILLAGE PROPERTIES
STREET_NUMBER
140
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13707051
CURRENT_STATUS
02
SITE_LOCATION
140 HARDING WAY
P_DISTRICT
001
QC Status
Approved
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SJGOV\wng
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EHD - Public
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�rr r tr r r rr r ■� rr rr � rr rr � r r r� <br /> CHAIN OF CUSTODY ANORD <br /> eolical Audit Services , <br /> Inc . Date Page �� <br /> !iQ E7 EVianeaProfexskVaA�s <br /> Z <br /> 1903 West March Lane, Suite A•Stockton, California-95207•(209)958.0264 <br /> Client 44 1 Project Manager Tests <br /> (//G Cx'�zytJ/8Dr3 Required <br /> Phone Number / <br /> Samplers: (Signature) 1'4,� <br /> invoice: <br /> Project NameGeoAudit <br /> Clientp Sample TypeSam le Location No. ofater Solid �Date Time `[ -Number Description W j�, � �� -Comp, Grab. AirContS. ! r <br /> I �• <br /> t <br /> I _ <br /> Al <br /> 1-7 45 X M <br /> Mws -10 Mme, wo <br /> e to tshe ignature) ecstva y: �g ture Oate(Time <br /> Relinquished by: (Signature) Received by: (Signature) <br /> Oatefrime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis_ (Signature) Oateffime <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: Oatefrime <br /> Method of Shipment: Laboratory Name <br /> Special Instructions: PRESERVATIVE V to I hereby authorize the performance of the above indicated work. <br /> GCOD COMMON 400 A22RCIDDIATr <br /> HEAD SPACE ABSENT CONTAINERS ?4J900r <br /> �� <br />
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