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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1825
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2900 - Site Mitigation Program
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PR0522666
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Last modified
5/13/2020 3:30:43 PM
Creation date
5/13/2020 3:03:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0522666
PE
2950
FACILITY_ID
FA0015447
FACILITY_NAME
STOCKTON ROYAL THEATRE
STREET_NUMBER
1825
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
13702042
CURRENT_STATUS
02
SITE_LOCATION
1825 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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Advanced CHAIN OF CUSTODY RECORD <br /> _- GeoEnvironmental, Inc. Date Vp age <br /> 837 Shaw Road Stockton, California- 95215 - (209) 467-1006 - Fax (209) 467-1118 O( 73 <br /> Client ��L x'11 11 �ee f Proj anager Tests Required <br /> Phone Number <br /> Samplers: (Signature) Invoice: <br /> Project Name p� AGE ❑ <br /> Client F <br /> Sample Location Sample Type No. of �� <br /> Number Description Date Time Water Solid �\ Notes <br /> comp. crab. Air Conts. <br /> iso <br /> d << `/ �D I bob <br /> �a'35 1° I' nM <br /> uis a y: (Signature) ec we y:JS ignature Date/7ime <br /> Q / <br /> R nquished by: (Signature) jReceived by: (Signature) Date/Time <br /> Relinquished by: (Signature) Received by Mobil® Laboratory for field analysis. (Signature) Date/Time <br /> i <br /> -' e, <br /> Dispatched by: (Signature) Date/Time Received for Labor b Date(Ti 9 <br /> -0'4 <br /> Method of Shipment: D✓ boa Na e I( <br /> a�0 I ��G <br /> Special Instructions: I her authorize the performance of the above indicated work. <br />
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