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ARCHIVED REPORTS_XR0003760
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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HAZELTON
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375
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2900 - Site Mitigation Program
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PR0540905
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ARCHIVED REPORTS_XR0003760
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Entry Properties
Last modified
2/3/2020 9:59:21 AM
Creation date
2/3/2020 9:05:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003760
RECORD_ID
PR0540905
PE
2960
FACILITY_ID
FA0023406
FACILITY_NAME
SIERRA LUMBER MANUFACTURERS
STREET_NUMBER
375
Direction
W
STREET_NAME
HAZELTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
147120808
CURRENT_STATUS
01
SITE_LOCATION
375 W HAZELTON AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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CHAIN 4F CUSTQD CORD' <br /> { Advanced w <br /> GeoEnvironmental, Inc. Date Pass at16 � <br /> ' `°o <br /> 4005 North Whan W -Slocftton,Gaiifomfa 96205-(209)4671006 Fax(209)457.114 ` <br /> C7 P, <br /> client P aW Tuts Required <br /> N <br /> Phtme Number w <br /> � p � 7foc� b <br /> Sart#ef Si tura) Invoice <br /> CD <br /> _ uo <br /> AG o <br /> Project Name \ I Galant w <br /> Sample Location Date Tire Wle Type Salad No of Motes <br /> Number Descriptio CampGrab Au Coats t _ <br /> 16i6 <br /> Ma/11rer,A-, r � , <br /> i I %%7 19162 - <br /> J � MdPl ro r,A) �E r) �+ <br /> L IIr1 w P'O 19163 <br /> lMPnl y X 0 <br /> 0 <br /> -ftellinqui dby i nature eae • y gnature q/ 4y pa6efTiene <br /> ST#9 ruo �,K P q <br /> Rating s y (signature Reeaivad by (Signature) <br /> ta/Tlme <br /> nqu ed by (Signature) R•ceWed by Mobile laberatory fat Herd analyefe (Signature) patslrime <br /> piapatchad by (Signature) 4ato/rirne eae red or taterV []atefTimo <br /> Method of Shipment V11yr �cT��r fy boratory Mrrna � <br /> 4 i� UotU C J V)q AREFWTIONL 6 1. (� cDi <br /> Specfat lnatrut"M APPROPRIATEereby authorize the Performa war the atieva indicated work m <br />
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