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ARCHIVED REPORTS XR0006575
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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6425
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2900 - Site Mitigation Program
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PR0519189
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ARCHIVED REPORTS XR0006575
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Entry Properties
Last modified
8/21/2019 3:42:58 PM
Creation date
8/21/2019 3:12:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006575
RECORD_ID
PR0519189
PE
2950
FACILITY_ID
FA0014347
FACILITY_NAME
CURRENTLY VACANT
STREET_NUMBER
6425
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741031
CURRENT_STATUS
02
SITE_LOCATION
6425 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
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EHD - Public
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r MATRIX �/ .5 MATRIX ENVIRONMENTAL LABORATORIES (916) 635-3962 FAX (916) 635-9331 C 0 C LOG-IN <br /> CHAIN OF CUSTODY NO �! — <br /> PROJECT I DLn <br /> ANAEYSiS <br /> PAGE 1 CLIENT CHAIN OF CUSTODY# p O <br /> O - o� <br /> OF _ Z O �QZU ��o <br /> LAS I D # SAMPLE I D DATE TIME MATRIX ri} Z� z a a3° <br /> SAMPLED SAMPLED hQ a`ti cry <br /> ✓� X X COMMENTS <br /> . 5nr , /oz 2 <br /> f, <br /> r <br /> r <br /> r <br /> F <br /> r <br /> } <br /> I <br /> k <br /> t <br /> i <br /> i <br /> I <br /> i <br /> f <br /> s m ura Date/Time ed by (Signature) <br /> nqutshed by ( 9 ) i <br /> Sam led b <br /> Relinquished by (Signature) Date/Time Received by (Signature) Report TO <br /> ` , Bdi To <br /> Relin fished by (signorure) DatelTtme Recent$,?for Caborvtory by SSignature) <br /> r ,c/' <br />
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