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ARCHIVED REPORTS XR0007787
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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EL DORADO
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632
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3500 - Local Oversight Program
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PR0505525
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ARCHIVED REPORTS XR0007787
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Entry Properties
Last modified
7/15/2019 4:52:30 PM
Creation date
7/15/2019 4:15:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007787
RECORD_ID
PR0505525
PE
2953
FACILITY_ID
FA0002387
FACILITY_NAME
KEYSTONE AUTOMOTIVE INDUSTRIES INC
STREET_NUMBER
632
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
14907033
CURRENT_STATUS
02
SITE_LOCATION
632 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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Tags
EHD - Public
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= MM Ir t>�t. ttttttttt.■ <br /> ,Advanced • CHAIN OF CUSTODCORD <br /> GeoEnvirornmentai, Inc. Date ^� 7 Page 4 <br /> of Northeast California <br /> 1603 West March Lane,Suite A-Stockton, California-95207 (209)956.0264-Fax(209)956-0700 CL 2>9 U x A 6-g3m <br /> Project Manager, r1 I r #ir <br /> Client 'n r G- Tests Required <br /> Phone Number <br /> 20 f-rS6- &42�'y <br /> Samplers (Signature) Invoice <br /> AGE= <br /> Project Name rr Awl'oClient <br /> Sample Location Sample Type No of <br /> Date TimeWateSolid <br /> Number Description comp <br /> mcrrab Air Conts <br /> r - <br /> 17 <br /> `mfr J1 <br /> 8057,8 <br /> 7 <br /> ! <br /> ( <br /> �r k"i12 il� I <br /> v.n <br /> Fr_ , <br /> s V <br /> x� <br /> VW-q A <br /> e in qu i e y lure ecel e y (Signature) r <br /> Date/Time <br /> /�C ���C ( 5 TGA ()'( Y <br /> Relinquished by (Signature) 4Reed <br /> by (Signature) Date/Tirte <br /> 1 0V tJ � c 1030 <br /> Relinquished by (Signature) by Mobile Laboratory for field analysis (Signature) DatelTime <br /> Dispatched by (Signature) DatelTime Received for Laboratory by DatelTime <br /> , I <br /> Method of Shipment till. Laboratory Name 1/f <br /> Special Instructions V I hereby authorize the patio mance of the above indicated work <br /> VOAS00METALS1 OTHER <br /> nnrCCD11A:r1f1A,, .4-1 <br /> GOOD CONDIT! ✓iN� APrROrRIArF <br /> CONTAINES <br />
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