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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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FREMONT
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4500
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3500 - Local Oversight Program
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PR0545183
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Last modified
1/14/2020 3:59:53 PM
Creation date
1/14/2020 2:49:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545183
PE
3528
FACILITY_ID
FA0004031
FACILITY_NAME
MASONRY GROUP, THE
STREET_NUMBER
4500
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95215
APN
14332001
CURRENT_STATUS
02
SITE_LOCATION
4500 E FREMONT ST
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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CHAIN <br />— OF.CUSTODY- RECORD --... . <br />,,,,.,, -Geological Audit -Services ; Inc-. <br /> .. <br /> Ern�imnmentaPrnf Date 3 5 ..2`1 Page <br /> of <br /> 803 West March Lane, Suite A-Stockton, California-95207-(209)956-0264 <br /> int l �1�5 t 1 S l l <br /> :aquaq t✓�; Project Manager <br /> Kevi�y 'M '-KITests Required <br />' Phone Number <br /> Samplers: (Signature) <br />)ject Name Puwl - /� �.� ` Invoice: <br /> �� iGeoAudit (� <br /> Client ❑ <br /> Sample Location Sample Type t <br /> Number Date Tune No. of i° / 1 <br /> Description Water _I Solid CQ 34667 <br /> Comp, Grab. Air Conts. / ! % ! i fy <br /> - B BaTlpwt i3 6 �`'s-9�{ 10:25, I—L34668 3 <br /> -- �,✓ U,A_I75 I'd a }� ' (o;�p i 1 I X I i 34669 <br /> 34670 <br /> I <br /> t <br /> X _L_ — COm VQ5;7� Saar fps <br /> nl, {✓ <br /> 10, o I i <br /> ... _ <br /> S, 5 �- <br /> � y= ! <br /> i � o0 t x <br /> nqucsheo by: ( rgnature) <br /> ecerve y: ignalure) . <br /> " :1 y H r. T. A,T, nate(Time � <br /> nquished by: (Signature) 7-1 <br /> Recei by: (Signa') }=0 (;�04)150 <br /> Y. m <br /> n-uished by:- <br /> 70 <br /> Date/Ti <br /> q <br /> eceived by Mobile Laboratory for field analysis: (Signature) C <br /> DatelTime <br /> etched by: ($ignature) Date/I ime Received for Laboratory Y:D <br /> _. Date!-rime <br /> iod of Shipment: <br /> Laboratory Name <br />.iai Instructions: <br /> r. I hereby authorize the performance of the above indicated work. <br /> r C i T-0- <br />
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