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ARCHIVED REPORTS_XR0010305
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545688
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ARCHIVED REPORTS_XR0010305
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Entry Properties
Last modified
5/21/2020 3:06:15 PM
Creation date
5/21/2020 10:20:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010305
RECORD_ID
PR0545688
PE
3528
FACILITY_ID
FA0003634
FACILITY_NAME
CANTEEN CORPORATION
STREET_NUMBER
1500
Direction
N
STREET_NAME
SHAW
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14326008
CURRENT_STATUS
02
SITE_LOCATION
1500 N SHAW RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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LSauers
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EHD - Public
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• <br /> { Advanced CHAIN OF CUSTODY RECORD _ r+ <br /> GeoEnvironmental, Inc Date Z-06 Page of_. _ <br /> 4005 North Wilson Way-Stockton,Calilornla-95206 (209)467-1006-Fax(200)467-1118 <br /> Client �u r+ W e-lber P e M ager bests Required <br /> P one umber <br /> 7 m <br /> r+ <br /> er (sig ure Invoice, <br /> Project Name [-- �y AGE <br /> {1'� Lott Cilent ❑ <br /> - <br /> Sample Location or ample Type <br /> Date Time Number Description o of <br /> Compter oiels Air Solid Ct]nt5. <br /> D <br /> w(pazoMw-(0 X 3 <br /> BMW)/rttiik., Mw- 7 ►zria,on X 3 <br /> X 55000 c.►s (11 <br /> 5fip0 �E�� m <br /> o wq/ lzmov Mw - 9 tZ/iL/vt. 6 X 3 X 56002 ti <br /> �1Wro 1 ILC f'W La X 5600 <br /> tilt kzo� BIW- l (�.�i7l�ks X5fi004 c+� tip <br /> to <br /> �'Iw,t./ icu W Z. tZ/'iI/vcs ? <br /> a <br /> e n ur4dy r at a ace ve y 9na ure �(iatnaROlirl u ryna ure} Received by (Signature) GfK,D rN I1IO �k �',ll itafrlma p <br /> c t� <br /> ei nqu shad y (519natura Received by Mobile Laboratory for field analysis ( gt1 `l re ` A3�1 i�7 (it�i�{I iiVi l�� , <br /> Datelrirne <br /> Dispatched by (Signature) DetalTitne Raca ved fat Laboratory by Datelrlme <br /> UC) <br /> Method of Shipmen Laboratory <br /> r '1] <br /> N <br /> td <br /> Specrar inairuct,une k harabY 10hatile the pe formsnce nt the above Indicated wor}r <br />
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