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ARCHIVED REPORTS_XR0009517
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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F
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FREMONT
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913
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3500 - Local Oversight Program
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PR0545099
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ARCHIVED REPORTS_XR0009517
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Entry Properties
Last modified
12/17/2019 4:00:49 PM
Creation date
12/17/2019 3:52:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009517
RECORD_ID
PR0545099
PE
3528
FACILITY_ID
FA0025655
FACILITY_NAME
VALLEY SHOWCASE CO
STREET_NUMBER
913
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95207
APN
13545022
CURRENT_STATUS
02
SITE_LOCATION
913 W FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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w�� II_ II_ Illlilll. III_ II_ til, til, til, lii■� lily til, I_ <br /> T nsglobal Environmental Geochemistry Chain of C dy Record PO M <br /> Client ��w S�tf=_S ,IC //JCDate: Z. -Ui _ __ Page Of I <br /> Address:-//X6 N�,���n�P l� C.�c� ,�j ��„ � /,} TEG Project#: Outside Lab#: <br /> PhoneFAX: t!o 95:5 Ozj Location.-90 I V# <br /> Client Project#: Project Manager:A4. )CZ03A4%_-, Collector:'ZIwfi2S' Date of Collection: /Z,7/,J i <br /> CDCD <br /> m <br /> 0 <br /> 06 O <br /> 40 0 <br /> 00 L co <br /> g ro <br /> .- ti w an d c <br /> v °° ISOo U e S <br /> 0 0 [v 0 v o o a r u m o <br /> Sample Container m co co z co °D m <br /> A <br /> Sample* Depth Time Type Type o O O ) °� a a a w E' o x Field Notes 10 <br /> MUr�I 1530 th1A--GL Va qoIhL- XI I <br /> AAW <br /> +r►3 St a - <br /> �Rel�inquishesignature) Date l Time Received by: (signature) Date I Time Total#of containers: Notes: <br /> f Chain of Custody seals Y/1',M <br /> �z Seals intact? Y/NINA <br /> R 'squished by: (signature) Date/Time R ceived by: (signature) Date I Time Received good condition/cold <br /> Turn around time: <br /> Sample disposal lnstwctlons. `TEG Disposal @$ZOO each Retum to client _ Pickup <br /> I� <br />
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