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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545682
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Last modified
5/20/2020 3:16:17 PM
Creation date
5/20/2020 2:57:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545682
PE
3528
FACILITY_ID
FA0003669
FACILITY_NAME
GEORGE B LAGORIO FARMS
STREET_NUMBER
5458
STREET_NAME
SECTION
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
17330001
CURRENT_STATUS
02
SITE_LOCATION
5458 SECTION AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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LSauers
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EHD - Public
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( Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. Date Page <br /> 4005 North%V1,5on Way-Stockton.Calilomla-95205-(209)457-1006-Fax(209}457-1118 <br /> Manager <br /> Client �e�NLL Project ger <br /> .,: r7_c , c <br /> Tests Req <br /> Ph ne-N be <br /> Samplers: (Signature) q Invoice_ ' <br /> Project Name Z19�o �o "'/r� 10MA7TO Ci2� AG <br /> Client J <br /> Sample Location Sample_ Type <br /> Date Tillie Water Air Solid Corals. V Notes <br /> No. of <br /> Number Description /ry a r <br /> Camp. Grab. <br /> :..: SP 22SQa LEAS' S, P. <br /> AJII r�33 P � � 'r �!r �+ r <br /> SP-3--2 Sa,,{A �A . 14o I <br /> 5/7- 3 - -3 114 1d6+it wio_i-- ,5 n <br /> SP- M Ido fe Lr557, 1: SG piq1 <br /> S P" 3- Cry titorftt gw-- 5. P, 9112-110 P <br />'. rnqurs e r.( alure 4 eceve by: (Signature) rt � atelTim <br /> s (f ��'�l � � 9 3=dip, <br /> `. <br /> net wished by (Signature) <br /> _ e ed b . (Signature} ate i e._ <br /> -:.-tur=- _o_ <br /> e igquished by (Signalura) eceived by Mobile Laboratory for iieid analyals:(Signature) Drt! f (me <br /> Dispalehed by:(Signature} QetelTima Received for Laboratory by. DalaJTlrnrs <br /> Method of 5hipmenl: laboratory Nis JJJ n - <br /> x; <br /> Special Instructions: r--. 1 hereby authorize t e performance of the above Indicated work. <br /> I.5A 7 i4W <br />
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