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SITE HISTORY_FILE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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H
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HARLAN
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15600
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3500 - Local Oversight Program
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PR0545273
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SITE HISTORY_FILE 1
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Entry Properties
Last modified
2/3/2020 11:44:53 AM
Creation date
2/3/2020 11:01:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
FileName_PostFix
FILE 1
RECORD_ID
PR0545273
PE
3528
FACILITY_ID
FA0000174
FACILITY_NAME
JOES TRAVEL PLAZA
STREET_NUMBER
15600
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19620079
CURRENT_STATUS
02
SITE_LOCATION
15600 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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.��►�� <br /> �n GeoAnalytical Laboratories, Inc. Lab Report # <br /> 1405 Kansas Avenue Phone(209)572-0900 <br /> Modesto,CA 95351 FAX(209)572-0916 <br /> Phone: 485-3456 <br /> Client: Banks & Company CHAIN OF CUSTODY Fax: 485-3165 <br /> Address: 2403 E Belmont Attn To: Bill Sheehe <br /> Fresno CA Zip 93701 <br /> Project 1D 15600 S. Harlon Rd — ZA-111F C.4 . t <br /> (Print Name) <br /> Sampled By (Signawre) T p <br /> Container E s <br /> Lab ID# <br /> Sample type <br /> o <br /> Date Time c,.b c.�e,p Matrix Sample ID Type Size Za t� <br /> 254Fr 1z-5 S SP/-we Ity6 / x x x 7< Jaof a <br /> 7 1 5 P i- Javl t"3 <br /> 2 - /trlst 5 <br /> SidtA*, el' <br /> l.'i� N[✓e Ze 18-7 <br /> r <br /> UT =AZ <br /> Rerii<arlcs <br /> Sys (F 7 e -AOAj /D risk Av F <br /> ZcF_ r 0.9OcQr,441" <br /> Rehr Y ( Igna re) Date Time iec t -d�by(Signature /Date lime <br /> Relingw t tb3 (Signature) <br /> Date Time Received by(Signal re) Date Time <br /> + Relinquished by (Signature) Date Time Received At Laboratory by(Signature) Date Time <br /> +Site Time: <br /> t Driving Ti `� Total Hours <br /> „Start: -(, Finish: Total Hours: 'fj Slarl: Site Arrival: x2= Q <br /> Mileage \1-7, �(� 1tulP� -*7"4L fV^ - alz- � 0 <br /> Approved By <br />
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