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ARCHIVED REPORTS_XR0005857
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_XR0005857
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Entry Properties
Last modified
4/28/2020 2:08:46 PM
Creation date
4/28/2020 1:29:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005857
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
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SJGOV\sballwahn
Tags
EHD - Public
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Advanced . <br /> CHAIN OF CUSTODPRECORD <br /> GeoEnvironmental, Inc. Date ��_s"I Page —1-._ � r <br /> _ <br /> 837 Shaw Road-Stockton, California- 95215- (209)467-1006- Fax (209) 467-1118 <br /> Client 4 r ��r v` Project Manager Tests Required <br /> C .' , <br /> Phone Number <br /> aa- ` 67 <br /> Samplers: Signature} �Q y Invoice: <br /> Project Name 0 CASE ❑ <br /> Sam � <br /> Sample Location pate Time Water y Solid No. of �4' ` Notes <br /> Number Description comp. arab. Air Conts. <br /> Mw; l o 40 <br /> -ML-J3 1 a01 1 <br /> Vt7W y A 10103 1 <br /> e y: igna re Received y: (Signature) DalelTime <br /> quished by: (Signature) Received by: (Signature) DatelTima <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Dale rime <br /> Dispatched by: (Signature) Aate/Time Received for Laboratory by: f ate/Tim <br /> Method of Shipment: Laboratory Name CL_(J�' �C'Ov e��� �t <br /> YIl <br /> Special Instructions: I hereby autho ize the performance of the above indicated work. <br />
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