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ARCHIVED REPORTS_XR0008297
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SCHOOL
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107
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3500 - Local Oversight Program
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PR0545674
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ARCHIVED REPORTS_XR0008297
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Entry Properties
Last modified
5/20/2020 10:19:52 AM
Creation date
5/20/2020 9:58:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008297
RECORD_ID
PR0545674
PE
3528
FACILITY_ID
FA0006039
FACILITY_NAME
MARK NEWFIELD
STREET_NUMBER
107
Direction
N
STREET_NAME
SCHOOL
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
107 N SCHOOL ST
P_DISTRICT
004
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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Advanced <br /> n 7ul-ce— GC— CHAIN OF CUSTODYRiECORO <br /> GeoEnvironmental, Inc Date a gage of <br /> 837 Shaw Road-Stockton, California-95215- (209) 467-1006 - Fax (209)487-1018 <br /> Client Project Manager <br /> Tests Required <br /> r <br /> P e Number <br /> a s nature) Invoice <br /> Project Name r AGE f� <br /> AV <br /> Client ❑ <br /> Sample Location Date Time Sample Type Solid Notes <br /> li <br /> Water <br /> Number Description comp Grab Air Conts <br /> It 2-e I 85701 <br /> 4r 85702 <br /> PRFURVAmN <br /> AS OR h"�7A1� nR <br /> D CT tIT; , APf f URIATE <br /> Relinquished y gnature Received y (Signature) 2- 1 `1 I 1 D 1e[Time <br /> 'Li 1 Z LA <br /> Relinquished y (Signature) Received by (Signature) DalelTime <br /> Relinquisheil gy- (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Dato/Tlme Received tor Laboratory by Date/Time <br /> Method of Shipment Labor7m, <br /> Special Instructions I hereby thorize th performance of the above indicated work <br /> �� l C-,w✓ <br />
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