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ARCHIVED REPORTS XR0001661
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0522479
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ARCHIVED REPORTS XR0001661
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Entry Properties
Last modified
5/17/2019 3:06:55 PM
Creation date
5/17/2019 2:18:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001661
RECORD_ID
PR0522479
PE
2957
FACILITY_ID
FA0015299
FACILITY_NAME
GEWEKE LAND DEVELOPMENT & MARKETING
STREET_NUMBER
16
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04323013
CURRENT_STATUS
01
SITE_LOCATION
16 S CHEROKEE LN
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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t! t� t� ltttttttt� �� �i stfififififf� <br /> ( Advanced CHAINI OF ODY ECORD <br /> - Date 3276-YIPT <br /> age of <br /> GeoEnvironmental, Inc. <br /> 4005 North Wilson Way-Stockton,California-95205-(208)467 1006-Fax(209)467-1118 <br /> Project Manager lD (p (jam <br /> Client { ��v''HG /ter r, Tests Required <br /> - <br /> LO Phone Number <br /> 1 I4U� <br /> Samplers (Signature) Invoice <br /> AGE <br /> Prosect Name �u Client [ <br /> Sample Location Sample Type Date Time Solid No of <br /> Number Description Comp at Grab Air Conts ` ' <br /> 86658 <br /> Ll< 86659 <br /> 8666 f T <br /> r 8666286663 <br /> _ <br /> � t <br /> ` 86664 <br /> e i e (Sig re) ec Led y ^ i n re <br /> r <br /> Relinquished by (Signature) aceived by ( rgnature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for held analysis (Signature) Dateffime <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Date/Time <br /> Method of Shipment �J � Laboratory Name f_ <br /> fir k) <br /> Spacial InstrUCIGns Ar <br /> VI�H� �� 141�nLJ UII�GI �Ac�. f hereby authorize the performanc o the above indicated work <br /> ri riL 1 <br /> 49 PRESER <br /> GOW CNDITION APPROPRIATE <br /> HEAD SPACE ABSENT—If— CONTAINERS <br />
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