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ARCHIVED REPORTS_XR0007232
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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88 (STATE ROUTE 88)
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13975
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2900 - Site Mitigation Program
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PR0522057
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ARCHIVED REPORTS_XR0007232
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Entry Properties
Last modified
11/20/2024 9:21:19 AM
Creation date
9/5/2019 2:19:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007232
RECORD_ID
PR0522057
PE
2950
FACILITY_ID
FA0015024
FACILITY_NAME
USA GASOLINE #3756
STREET_NUMBER
13975
Direction
E
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
APN
01908014
CURRENT_STATUS
01
SITE_LOCATION
13975 E HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Tags
EHD - Public
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VIIIIIIIIININOt <br /> _ <br /> � _ . , eiwr ear�r � er r• � r <br /> —ZV-, CHAIN OF CURDY RECORD ORDaeO Oglcal Aud .t ServiceI . <br /> 14— �� EnYironmenta/Prafessiona/s Date Page `1 of <br /> m— 1803 West March Lane Suite A-Stockton, Cali{ornia 95207 (249)956 0264 <br /> Client Project Manager <br /> 1503 M a-XTy Tests Required <br /> Phone Number <br /> � <br /> Project Name Zla4- <br /> Sam iers (Signature) �- Invoice <br /> 1 GeoAudlt <br /> CO �^ Cltent ❑ <br /> SampleLocation Sa e Type <br /> Number Description Date Time Water Air Solid ContsNo j Notes <br /> Com Grab <br /> ? l <br /> / t <br /> s . l <br /> y-9¢ ii-•pz 3 k i 354 � i <br /> Mw-a s 4-�r tnl- L ! 2y- 3 �( 35493 i t <br /> 13' 57 k 3 x <br /> it <br /> 3549 * .a <br /> 13 <br /> Ml,1'�- 13 45' X ,3 <br /> it <br /> Ms�G r- .� ��r•�-Cp 4 �� 7( ,3 �( 35 $97' t <br /> r <br /> FI a nalur TTFeI y rgaature r <br /> Datefrime <br /> elmgwshed by (Signature) <br /> Received by (Signature) ✓��"' � � Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) <br /> aatelTime <br /> Dispatched by (Signature) DatelTime Received Far Laboratory by <br /> Datafrlms <br /> Method of Shipment <br /> Moeu Laboratory Name <br /> L3 9i t7 tt ►li�i A�I��' g�L <br /> Special instructions GOOD <br /> �//-�-tt—ggq�.• ��dd �yrapF}rC' I hereby authorize the performance of the above indicated work <br /> 13�VD�IUIYDMG'9R. �'tl�fl{UI'11� � � � .. � Y <br /> J <br />
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