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ARCHIVED REPORTS_XR0010160
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SHAW
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1648
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3500 - Local Oversight Program
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PR0545689
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ARCHIVED REPORTS_XR0010160
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Entry Properties
Last modified
5/18/2020 4:24:32 PM
Creation date
5/18/2020 3:26:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010160
RECORD_ID
PR0545689
PE
3528
FACILITY_ID
FA0005164
FACILITY_NAME
FISCO WAREHOUSE
STREET_NUMBER
1648
STREET_NAME
SHAW
STREET_TYPE
RD
City
STOCKTON
Zip
00000
CURRENT_STATUS
02
SITE_LOCATION
1648 SHAW RD
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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t <br /> CHAIN OF CUSTODY RECORD <br /> Advanced <br /> GeciEnvironmental, Inc. Date `� °� Paye of <br /> 4005 Notch Wilson Way-Stockton,Caltfomia-95205-(209)467-1006-Fax(209)467-1118 <br /> ClientPro M Hager <br /> S' Tests Req <br /> uir d <br /> P e umber <br /> (Si azure) Invoice <br /> AGE <br /> Project Name <br /> Chem ❑ <br /> Sample Location Date Time Sample Type Solid No of Notes <br /> Number Description Water Air Conts <br /> Comp Grab <br /> 1.1 <br /> 07-94-00 -3 11 <br /> D -3 <br /> i <br /> euis e y (Si <br /> nature ec rve y t ure Date/Time <br /> Rel quts a by Received by (Signa r DatelTtme <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysts (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Received for Laboratory by f VDate/Time <br /> Method of Shtpme Laboratory N� e <br /> Special Instructions I hereby au horize t e e mance (h bove indicated work <br />
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