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ARCHIVED REPORTS XR0010910
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 XR0010910
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Entry Properties
Last modified
8/1/2019 3:17:33 PM
Creation date
8/1/2019 2:43:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010910
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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Advanced CHAIN OF CUSTOE ,: RECORD <br /> GeoEnvironmental, Inc. Date ^y 'f Page of Lt__ <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1118 <br /> 3TIa �-Jo— <br /> Client Project Manager i � Tests Required <br /> Phone Number q6 IJ`4 � <br /> ?0 <br /> nature <br /> Samplers: Si <br /> p (Signature)) Invoice: <br /> Project Name E I// r <br /> Client <br /> Sample Location Sample Type <br /> Date Time Sod No of <br /> Number Description Water liNotesAir Conts. � <br /> Camp. Grab. t <br /> 02344 <br /> 3 r <br /> W-2 1--2- 5 .� 3 02345 <br /> 0) M Wf3 —2:Z– r5: ` S 02346 <br /> r <br /> r 0 r <br /> -� 1�2_7_4 2347 <br /> LI <br /> -22-71 02348 j <br /> L <br /> 1 w—� 1 -ZZ S-Z X, 3 x 02349 <br /> C}, o <br /> `,� r 2350 <br /> e i e y- (Signalur ei y: �gn .99 i <br /> 4 iS Sfi <br /> Relinquished by: (Signature) iv by: (Sign re) Date[Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Date(Time <br /> Dispatched by: (Signature) Date/TimeReceived for Laboratory by; Dalefrime <br /> Method of Shipment: Laboratory Name <br /> c 4 <br /> Special Instructi s; VO ON METALS1 OTHER I hereby authorize the performince of the above Indicated work. <br /> GOOD CONDITION APPROPRIATE �� 6"') <br />
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