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ARCHIVED REPORTS_XR0005799
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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F
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FRONTAGE
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935
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3500 - Local Oversight Program
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PR0545617
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ARCHIVED REPORTS_XR0005799
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Entry Properties
Last modified
4/28/2020 1:53:06 PM
Creation date
4/28/2020 1:11:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005799
RECORD_ID
PR0545617
PE
3528
FACILITY_ID
FA0005557
FACILITY_NAME
RIPON FARM SERVICE
STREET_NUMBER
935
STREET_NAME
FRONTAGE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
26102007/2011
CURRENT_STATUS
02
SITE_LOCATION
935 FRONTAGE RD
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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t. <br /> Advanced CHAIN OF CUSTO�ECORD <br /> � <br /> i t y�L�2 <br /> GeoEnvironmental, Inc <br /> Date <br /> 837 Shaw Road-Stockton,California-95215- (209)467-1006-Fax(209)467-1118 o t_ a <br /> Client -ect Manager <br /> - � 'k�Zr t I t-i�-t- C tc I Required <br /> P�om N,,mNr L 42 <br /> Sa lers (Sig ) As` Inoue <br /> � AGS ❑ <br /> Protect Name �-- 4�� � Chent ❑ <br /> Sample Type <br /> Sample Location Date Time Solid No of �� �' Notes <br /> N ber Description comWater Air Conts <br /> VA�Ico0V to( 11104 <br /> X/� <br /> . I <br /> C) <br /> Vq <br /> yY <br /> ature) ecaive y ignature DatalTime f <br /> 1 G`1 �GGLCi �l - <br /> Relmquishe y (Signature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobil*Laboratory for field analysis (Signature) Date/Time <br /> ,atc hed by (Signature) <br /> Date/Time Received for Laboratory by LL Datertime <br /> � <br /> �t Shipment el Laboratory a <br /> VY <br /> `truetions I he y aut rize t performance of the above indicated work <br />
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