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ARCHIVED REPORTS_XR0005325
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MARIPOSA
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2088
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3500 - Local Oversight Program
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PR0545522
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ARCHIVED REPORTS_XR0005325
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Entry Properties
Last modified
3/13/2020 4:16:54 AM
Creation date
3/12/2020 10:48:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005325
RECORD_ID
PR0545522
PE
3528
FACILITY_ID
FA0006272
FACILITY_NAME
PACIFIC GAS
STREET_NUMBER
2088
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
2088 E MARIPOSA RD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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CHAIN OF CUSTOD CORD ; <br /> Date Page � <br /> _=41C <br /> N-�PGeological Audit Services Inc. , +� - of <br /> ——""'� Enf�r�rr�enta Prt�1essbna,Fs � <br /> 1803 West March Lane, Suite A Stockton,California 95207-(209)958-0284 <br /> mow <br /> Project Manager <br /> Client Ndd(44-1 5Q rich it L Rob New Tests Required <br /> Phone Number <br /> Samplers (Signature) SlyInvoice <br /> �7I- R / GeoAudrt [A <br /> Project Name PQ C;f' c. Ga.5 / , ��!_* , ,� / Client ❑ <br /> a'•Y•jJ / <br /> Sample Type <br /> Sample Location Solid No of / Notes <br /> Date Time Water <br /> Number Description Comp Grab Air Conte <br /> nwi - 4�` cr- -g3 °C X �C 32954 <br /> t,w 1 -5, I X 32955 <br /> j,-N�93 � �( r <br /> i . <br /> +�w+ -9 .5 32956 r ' <br /> x ' <br /> MWI -%i 32957 <br /> Mw;k <br /> 3295 - <br /> 32959 r <br /> Mw 7a <br /> e nq is a tuiecetve y (Si elute Dele/Time <br /> R quished by (Sig» ure) Received by (Signature) oatelTime <br /> I <br /> Relinquished by (Signature) Received by Mobile Laboratory for held analysis (Signature) 32960 1 ostwime <br /> I t <br /> t <br /> Dispatched by (Signature) Dateffime Received tar Laboratory by Dato Time <br /> i <br /> Method of Shipment Laboratory Name <br /> WAS 10&G I MWI OTHER mcc4twiekell <br /> Special Instructions1 hereby authorize the performance of the above Indicated *ark <br /> GOOD C0—=ION M <br /> OPRIATE <br /> lArAD SPAG ?t- P,E; r�a!Tnlri�j�fi <br />
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