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ARCHIVED REPORTS_XR0008244
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WEBER
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1149
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2900 - Site Mitigation Program
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PR0545005
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ARCHIVED REPORTS_XR0008244
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Entry Properties
Last modified
12/3/2019 2:46:46 PM
Creation date
12/3/2019 2:39:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008244
RECORD_ID
PR0545005
PE
3528
FACILITY_ID
FA0025603
FACILITY_NAME
SAN JOAQUIN BEVERAGE
STREET_NUMBER
1149
Direction
W
STREET_NAME
WEBER
STREET_TYPE
ST
City
STOCKTON
Zip
95203
CURRENT_STATUS
02
SITE_LOCATION
1149 W WEBER ST
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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Geological Audit Services , inc. CHAIN OF CUSTOD CORD <br /> Envrrrxbn�nta Pmfessa.E, Date l" 3- qq Page of <br /> 1004 Weel March Lane, Suite A-Stockton,Californla-45207-(209)95"204 <br /> Cr1ent �a K a�' STo GKTo All Project Manager <br /> h n hl t• J o l7 in U r r u T, <br /> Bob Mgr . Tests Required <br /> ' 7 <br /> P-0. Bb x l !L d Phbne Number <br /> 5 <br /> TocK Tom G -10q 9.56-0�t6q �G <br /> Samplers (Signature) C' <br /> Invoice <br /> Protect Name D 1 5 Tr f�u Y i r�cl ��''�"'�"'YLI.`�'�''� �a / GeoAu <br /> .l <br /> Sample Location Sample Type aa`'� / r Ch nt <br /> Number Description Date Time Water Solid No of .Z.' �/ /� // <br /> Comp crab Air Conts Notes <br /> X <br /> Mw-� /►-i ayW x <br /> Il 55 1 W <br /> el is ignature <br /> ecary <br /> STat4r ctrc� T.A,T 0*ii e <br /> ahnq is b gn <br /> lin <br /> r dna y t <br /> Qste/rirne <br /> m h d <br /> Receli by Mobil boratory for held analysis '*.b <br /> Signature) <br />� Qate/T�me � <br /> Qispatc d y (S ura natelTime Received for Lab <br /> y / Q alTi e <br /> � <br /> II�yMad I ant �- [' <br /> aboratory Name <br /> Special Instructions 5 <br /> 1 her uth Nte the periormanc of the above indicated work <br />
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