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ARCHIVED REPORTS XR0009664
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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3430
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3500 - Local Oversight Program
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PR0544710
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ARCHIVED REPORTS XR0009664
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Entry Properties
Last modified
7/30/2019 1:55:48 PM
Creation date
7/30/2019 11:47:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009664
RECORD_ID
PR0544710
PE
3528
FACILITY_ID
FA0006247
FACILITY_NAME
Western Lift
STREET_NUMBER
3430
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
17525063
CURRENT_STATUS
02
SITE_LOCATION
3430 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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a <br /> m Advanced CHAIN OF CUSTODY RECORD <br /> Date page <br /> page of <br /> ry. GeoEnvironmenW, Inc. <br /> I SW Wesi Match Lam,8a4te A-StacktOn,California•955207- 956 2544•Fax(M)958 D7ri0 <br /> Client project Manager Tests Required <br /> Phone Number <br /> S�• aZ� �r <br /> Safnplers:(Signature) Invoice: <br /> AGE PEK <br /> Project Name o , Client p <br /> ample Type <br /> Dale Time Water <br /> Sample Location Solid No.cif Notes <br /> Number Descrlpflorl Comp. Grab, Air Conte. <br /> 1,40-( ✓ - ,i � 0 <br /> n <br /> v <br /> 9 <br /> e nqu s e y: iQnnture eco ve y: ignature ` t .,,,,, ',� Rte !me <br /> Rol inquisnea by. 49 ndk4HE3 Raasived by.18ignawro) Dr&4afiima <br /> Aehnquished )r: gnatura) Received by Mobile Le ry for field analysis!(Gignalure) I]alsfiime <br /> Q lapata (8lonatum) atel7nna Fe"Wed lar cry by: aiafrima <br /> Method-of 0hipment, Loh story Name <br /> Speolal in uelicna-_ i heroby authorlxe the performance of the above lndleiriid work. <br /> 7°d,, <br />
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