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ARCHIVED REPORTS_XR0008180
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_XR0008180
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Entry Properties
Last modified
5/5/2020 3:12:33 PM
Creation date
5/5/2020 2:49:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008180
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
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LSauers
Tags
EHD - Public
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CHAIN OF'CUSTOdWECORD <br /> �Q`•�! Geoloqical7Audit Services , Inc . Date -7 Page � of � <br /> Enwronmenta Prafessiona/s <br /> 44 MEL <br /> " 1803 West March Lane Suits A Stockton California-95207-(209)956 0284 <br /> Client r? Project Manager <br /> y�t-IT Tests Required <br /> Phone Number <br /> (;2oq) gsG-o <br /> Samplers SI nature) � Invalce <br /> 7 <br /> Project Name rGo M f n 'h� / <br /> /CGeoAudit <br /> P'Ia r i Client ❑ <br /> Type <br /> Sample Location Sam le T e No of ��/ % <br /> Date Time Water Solid ��'%� Notes <br /> Number Description Comp crab Air Conts <br /> Ml'S'-113-544 3-q-q� 13;2 X 13 � v <br /> 13, 3S 3 X, <br /> nw-3/-3 y 13. 10 X <br /> Flpii <br /> uish tUrV Receive S�a 4 T D 1Time <br /> R quished by {Signature} Rp,giced by (StQn&LUre)� Date/Time <br /> RelinquiReceived by Mobile Laboratory for held analysis (Signature} Date/Time <br /> Dispatched b Sr na urel Date/Time Received for Laborator D COMM <br /> Method of Shipment CialborAfory <br /> ame <br />
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