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ARCHIVED REPORTS_XR0008164
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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4511
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3500 - Local Oversight Program
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PR0545641
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ARCHIVED REPORTS_XR0008164
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Entry Properties
Last modified
5/5/2020 3:14:30 PM
Creation date
5/5/2020 2:40:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008164
RECORD_ID
PR0545641
PE
3528
FACILITY_ID
FA0002480
FACILITY_NAME
SHOP N GO 3
STREET_NUMBER
4511
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11023011
CURRENT_STATUS
02
SITE_LOCATION
4511 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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.fit. �t� � *� ii�i� !�,�� �� �� � �w_:-�..:.����14� ■■� �i <br /> 'N Advancea' CHAIN OF CUSTODY R ECORD <br /> - ^ GeoEnvironinental, Inc. aace Page of <br /> 4005 North Wilson Way-StoclMon,Calilonnia-95205 (2(39)467-1046 Fax(209)487 t 118 !a <br /> Project Manager <br /> Client � �.�, a �r�L Tests Required <br /> Phone Number <br /> Samplers (Signature) - - - Invoice, <br /> AGE d <br /> Project Name , Client ❑ <br /> Sample Location pate Time Water mple Type Solid No of <br /> pats , 8 6 0 7 ' <br /> Number Clescopow - Comp- Grob Alf - <br /> _ i <br /> 1 - -.4 1 ' 86103 <br /> 04 214 lot 86104 t <br /> t <br /> 86105 <br /> i 1 <br /> 1 W 2w ` 86146 <br /> 1 t 85107 <br /> J U Z—i <br /> 66108 <br /> e In to y (Signature) ecei a y rgndiure <br /> QalelTima <br /> 404?1 eZ <br /> Refinqu shed by ( �qn rued by (Sign ure) ( DatalTime <br /> e tnau shad by ( ignatuie) Received by Mobile Laboratory for field analysis (Signelure) Dateirlme <br /> i <br /> Dispalehed by (Signature) DatelTime Received los a .tory t>y Dote/rima <br /> i <br /> i <br /> Method of Shy meat Labor&9L� <br /> l- I hereby ■uihothe above indicated work i <br /> COidp111QN, �r„ AtPIMPRATE t�L v <br />
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