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ARCHIVED REPORTS_XR0005161
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MONTE DIABLO
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1766
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2900 - Site Mitigation Program
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PR0535112
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ARCHIVED REPORTS_XR0005161
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Entry Properties
Last modified
9/23/2020 11:57:39 PM
Creation date
3/17/2020 3:06:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005161
RECORD_ID
PR0535112
PE
2957
FACILITY_ID
FA0020296
FACILITY_NAME
CHAPIN BROTHERS INC
STREET_NUMBER
1766
STREET_NAME
MONTE DIABLO
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
APN
13505050
CURRENT_STATUS
01
SITE_LOCATION
1766 MONTE DIABLO AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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r rr �r r r r r rr � rw rr rr rr rr r � rr r� <br /> `J CHAIN OF CUSTODY RECORD <br /> Advanced <br /> GeoEnv>ironmental, Inc. <br /> Dale Page J— of <br /> 4405 North Wilson Way Stockton,California-95245-i209y 487 1006-Fax(209)487 1118 <br /> 1 aZ e) x fl <br /> Client r' fro Project Manager�i �.� �r� Tests Required <br /> Phone Number �� 7— <br /> Samplers. <br /> (Signature) invoice <br /> Project Marne ! i 1 AG <br /> � 1 Chen ❑ <br /> r <br /> Sample LocationSample Type No di <br /> Date Time Water Solid 9 s322 <br /> Number Description Comp Grob AirConts <br /> 96323 <br /> YIt 96324 <br /> 95325 <br /> 6326 <br /> 11tv r Nd—rY' le) <br /> 96327 <br /> 3 ;f1 JK 9fi328 <br /> Re enq ied by PignaimpIve y t slur Date)Time <br /> Rehnqu she by (Srgnalure) fie rved by rgnature) 1)atafirme <br /> Relinquished by (Srgnalure) Received by Mobrie Laboratory for lietd analysis (Signature) DaterTime <br /> Dispatched by (Signature) Dale/Time Received los GbOliblINY by DatelTime <br /> Method of Shipment Laboratory Name <br /> Special 1 struettons J 1 p I hereby authorize the perlormanc of the abAve indicated work <br /> VOA O&G <br /> PRESERVATION <br /> Tlnlkl IL/ <br /> HEAD SPACE ABSEN <br /> CONTAIN <br />
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