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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MADISON
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420
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2900 - Site Mitigation Program
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PR0521765
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FIELD DOCUMENTS
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Last modified
5/6/2019 4:36:46 PM
Creation date
5/6/2019 4:13:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0521765
PE
2950
FACILITY_ID
FA0014781
FACILITY_NAME
CARANDO MACHINE WORKS
STREET_NUMBER
420
STREET_NAME
MADISON
STREET_TYPE
ST
City
STOCKTON
Zip
95202
CURRENT_STATUS
01
SITE_LOCATION
420 N MADISON ST
P_LOCATION
01
QC Status
Approved
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EHD - Public
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CHAIN Of CUSTODY RECORD <br /> ( Advanced Dace :7 Page of <br /> Ge oEnviTonmental, Inc_ w <br /> k• j coos rlo th 1 �n way Stockton,Ca6bmla-952C5-(49)467-1 Q(?6-Fax <br /> c s o <br /> Manager wpw m <br /> * Tests R <br /> erell etoi yl N -Aibilyl F <br /> Phone-NUr ry <br /> ti <br /> samplers:(Signatt�teJ a Irrvaice: -b <br /> A <br /> went <br /> Project Name <br /> m <br /> ��Type <br /> Salg* Location Date Time Water Air SOS Conts.No.of Notes <br /> Number Description comp. Grab. <br /> x <br /> - z <br /> c� <br /> 0 <br /> D.t.lTiafe a <br /> ceire gne.turo IaQ j - <br /> 4rlL iynal .—�_ S ♦^17`U[r i1 pct �.�s5 `�'!��GU �S��D <br /> �` 1� DaIaJTana �_ Ul <br /> w <br /> a <br /> R <br /> inquished by:j5lunaUxe) <br /> Recawgdby:(Sip lura) ) <br /> Rel:nqulahed Dy:(S+9�ura� ubbratoryfor Ged aaelysrs:(slpaure) <br /> Receiedby NilOatarTtme <br /> Date(Tlme Rocaiwd ror La oratory by_ Oatef�ima <br /> Dirpa7chad bT(sipaallxe) _ <br /> Laboialury Name <br /> — - <br /> /,Iethad o1 ShlpmenL• - <br /> Ka tl�maw{ � <br /> L� aro'i II it 1 hereby authoHze�tjhepo�rtporrnanca o1 tpe above tndiowed vrowk. <br /> CD <br /> I f l <br /> s<reciat Inatmo9ona: mol <br /> - — - �]J � pi(� w <br />
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