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ARCHIVED REPORTS_XR0002540
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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G
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GRANT
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308
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2900 - Site Mitigation Program
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PR0542014
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ARCHIVED REPORTS_XR0002540
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Entry Properties
Last modified
1/16/2020 5:53:40 PM
Creation date
1/16/2020 4:38:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002540
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
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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� � tiitttiiiii i_ twtt�te � elititlits tettetetti tetttetett� tww etetetetet� etetetett� >� a,_ <br /> 0 <br /> Advanced CHAIN OF CUSTOD RECORD <br /> GeoEnvironmental, Inc. Date Page --L of Z <br /> 837 Shaw Road - Stockton, California-95215 - (209) 467-1006 - Fax (209)467-1118 f- /1 71, <br /> ClientPraject Manager <br /> ��G 81< Tests Required <br /> aneumbe <br /> Samplers (Signature) Invoice <br /> Project NameAGE <br /> L q.r rc Sample Type solid Client CD <br /> Sample Location No of <br /> Number Description Date Time Water Air Conts Notes <br /> Comp Grab <br /> YJ a , �$ <br /> W-7 <br /> e i quis e y r ature ece ve y rgnature te1Tr e <br /> 7 Z.50 <br /> Relinquishe by (Signature) Received by (Signature) Datel ime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date(Time <br /> Dispatched by (Signature) DatelTrme Received for Laborato y Datelrrme <br /> ?Lae�, G— 9 s <br /> Method of Shipment r oratory Mame I <br /> Special Instructions [t, , �A �� 1 hereby authorize the performance of the above indicated work <br />
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