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ARCHIVED REPORTS_XR0002537
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GRANT
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2900 - Site Mitigation Program
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PR0542014
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ARCHIVED REPORTS_XR0002537
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Entry Properties
Last modified
1/16/2020 5:53:14 PM
Creation date
1/16/2020 4:37:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002537
RECORD_ID
PR0542014
PE
2960
FACILITY_ID
FA0023306
FACILITY_NAME
LARRYS AUTO REPAIR
STREET_NUMBER
308
Direction
N
STREET_NAME
GRANT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
308 N GRANT ST
P_LOCATION
01
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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r r r r r <br /> CHAIN OF CUSTOMPECORD <br /> Advanced i L( Page -7==— ot <br /> GeoEnvironmental, Inc. Date <br /> 897 Shaw Road- Stockton, CalEtornia-95215-(209)467-1006 Fax (249)467-1118 <br /> P=WdManagr <br /> Clterd Tests Required <br /> orae urritDr <br /> Samplers (Signature) ] // Invoice <br /> AG E <br /> Protect Name L" � .� G !f Itetlt <br /> n� <br /> Location Sample Tye Na of "'f, �' ff Notes <br /> Sample Bate Time YVa?t3r i Solid �l / <br /> Number Description i cot�P Grab �l Cobs <br /> %J LX— <br /> ecsEve Y I nature ! (!a fTfrrie <br /> �'et+rtqu""iyt�e[TF,y cg tore} G 1 <br /> Datsfeme <br /> Rel nq 5had by (33gnetutet Received by (Signature] — <br /> FtetFnqu35hed by (S�gnatu+a} Rece;teed by FAoblit Laboratory for held unalvsts (Signa as) ��,T�� DatelTime <br /> Datsf tme 13ecsivad for Labara ate/TEms <br /> Dispatched by (Signature) � �- �4 <br /> Laboratory Name <br /> Method of SNPMent r <br /> — <br /> j f t hereby authorize the performance o4 the rsbove rnd�cateri wprk <br /> Spec+si tnstructsors �� �F7 j 1 <br /> r <br />
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