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ARCHIVED REPORTS_XR0003579
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_XR0003579
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Entry Properties
Last modified
2/3/2020 10:07:32 AM
Creation date
2/3/2020 9:26:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003579
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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„ tt�et■ i, iwi_ � I• 1• � � � !a I• � � � <br /> � Advanced <br /> CHAIN OF CUSTOECORD <br /> • GeoEnvironmenta , Inc. - Date Page t <br /> 837 Shaw Road Stockton, California- 95215-(209)467-1006- Fax(209)467-1118 t 1 <br /> ClientProlTgn <br /> YY�PG�t Tests Requfred <br /> Mone tier <br /> Samplers (Signature Invoice <br /> Project NameSl � �G. Lvm�ev-�� r AGE <br /> Cliervtw--4 <br /> Sample Location Sample Type No <br /> Number Description Date Time Water Solid o °t /b Notes <br /> Comp Grab Air �'ionts <br /> U1 I -tom( `63 <br /> quis a i n ufe eco ve y rgnature Date(rrme <br /> f t t� 3C; <br /> Rh4acidisWed byTS40a re) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for fiord analysis (Signature) DalelTrme <br /> - 1 !, <br /> Dispatched by (Signature) DatelTime Received for Laboratory by Date rime . <br /> YLL�- - 11-� - If <br /> Method of Shipment Labo ary N � <br /> Special instructions ('� I hereby authorize f pe f mance of the above indicated work <br />
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