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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2363
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2900 - Site Mitigation Program
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PR0545639
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COMPLIANCE INFO
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Entry Properties
Last modified
5/13/2020 3:25:13 PM
Creation date
5/13/2020 3:16:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0545639
PE
2950
FACILITY_ID
FA0025874
FACILITY_NAME
SPITZER MUSIC
STREET_NUMBER
2363
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2363 PACIFIC AVE
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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1. <br /> Advanced CHAIN2742_ <br /> F CUSTODY RECORD <br /> GeciEnvironmental, Inc, Date � Page of <br /> 837 Shaw Road- Stockton,Califomla-95215- (209)467-1006 - Fax(209)457-1116 <br /> Client S v�� Project Manager Tests Required <br /> R. <br /> Phone Number <br /> Af�/J✓k� <br /> Samplers: (Signature) Invoice: <br /> Projectams +-� � �/���� � ~ 0� AGE <br /> b iCUent D <br /> Sample Location Sample TypeDate Time No. of <br /> Number Description Water Air Coma, <br /> Comp. (arab. corns Notes <br /> ??3- 2 Co-coaliA FA6-r") 6!941.01- JZ�2LJ <br /> '2S <br /> _X <br /> 'P3-3C> <br /> r3-o 3 <br /> e i e y: na Received by: gnoture Datorrime <br /> Relinq tae y: ( gnetura) ( Received by; (Signature) <br /> �t �• � •• ( Dats/Ti <br /> Refinqura ed by: (Slgnature) Received by Mobile Laboratory tow field analysis:(819naiure) Oale(Time <br /> Dispatched by: (Signature) Datemmo slued fortabotato Date[Tlme <br /> O Method of Shipment: L ratory Name <br /> r <br /> U_L dlh � -(k_4 <br /> -o Speelal Instructions: i hareby authorize the perlormance of 1h bove indicated work. <br /> (SII <br />
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