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ARCHIVED REPORTS XR0010892
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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ELKHORN
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1050
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2900 - Site Mitigation Program
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PR0505234
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ARCHIVED REPORTS XR0010892
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Entry Properties
Last modified
8/1/2019 3:26:53 PM
Creation date
8/1/2019 2:24:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010892
RECORD_ID
PR0505234
PE
2951
FACILITY_ID
FA0001103
FACILITY_NAME
Elkhorn Golf Club
STREET_NUMBER
1050
STREET_NAME
ELKHORN
STREET_TYPE
DR
City
STOCKTON
Zip
95209
CURRENT_STATUS
02
SITE_LOCATION
1050 ELKHORN DR
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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CHAIN OF CUST DYECORD <br /> M�_ -- O " <br /> Geological edit Services , Inc , Date.-3-1(2-q5� Page --I-ov <br /> == E17Vk0f),M1?fWPrafessivnals w _ <br /> 1803 West.htarch Leila, Suite A• Slocktan, Gefilornia-9520T (209)956-0264 ro F,. <br /> a Z <br /> Proj Mer <br /> Client Tests RequiredLi—&i ana <br /> m <br /> m ' <br /> Phone Nu[nber <br /> 3 <br /> Sam r / Invoice: <br /> — -.--_ // GeoAud'rt <br /> Project Name <br /> ' E rr7 Client p . <br /> Sample.. . . Cocalioii.... .- ample Type . . No. of / Nolen <br /> NLlmber Description Dale Time '+Nater Solid Air Conts, _ <br /> Comp. ('.Fab. 1` C� 1 <br /> { 50955 1 2. <br /> n <br /> ,3I4-15 114,0x1 1l- 16 X 509 7 1 <br /> 50 958 4 <br /> C <br /> o. <br /> Kn <br /> e y. lure) Mfty: ignalur r7 / Dalo/Tirne <br /> FtsIi by: (Signalure) ceived by: (Sipnalure) - d>tlafT;ms <br /> Relinquished by: (Signalure) Received by Mobile Laboratory lo; field analysis:(Signature) Dsle�Yirne <br /> ]ixpalch5d ty;.{Sigr�atyra), Dateliinm R000ived for Lat)oralory by: Do WrTlrne <br /> o0ethodof Shipment: Labor tory 1 i33 <br /> iDipdciai Inslructiond: � I horobye oHze 1h parlor rrc a1 the ebo lndlcpled work. <br /> � nnn-rtFiirrrr?t <br /> HEAD$PAABSW C(F'AOW <br />
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