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ARCHIVED REPORTS_XR0010344
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SIERRA NEVADA
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749
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3500 - Local Oversight Program
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PR0545690
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ARCHIVED REPORTS_XR0010344
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Entry Properties
Last modified
5/22/2020 11:33:32 AM
Creation date
5/22/2020 11:23:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010344
RECORD_ID
PR0545690
PE
3528
FACILITY_ID
FA0005203
FACILITY_NAME
GENOVA BAKERY
STREET_NUMBER
749
Direction
N
STREET_NAME
SIERRA NEVADA
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15107406
CURRENT_STATUS
02
SITE_LOCATION
749 N SIERRA NEVADA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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LSauers
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EHD - Public
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Geological Audit Services , Inc , AIN OF CUSTODY RECORD <br /> E17VIMmentalaotessiona/s Date li-9 Page of—1 <br /> _, 80J West March Lane Surto A Stockton California 95207 (209)956 0264 <br /> r <br /> Crtentu � (J Project Manager <br /> 13d:>8 / "/ Tests Required <br /> Phone Number <br /> 7U� d <br /> 3,y&- <br /> Sam s (Signature) Invoice <br /> Project Name I GeoAudd <br /> Client <br /> Sample Location Sample Type `' <br /> Number Description Date Tlme --- Wate1� Solid N° of Notes <br /> I' ,,,,b AIC Conts <br /> in is a atur lecerve by40�rgrrnturc) <br /> Qate/T e <br /> e rnqurshad by (Signature) n 3'3S <br /> fiocarvod by (Signnluro) <br /> I n+ Dat Rime <br /> ftelrnqurshad by (Srgnaturo) --f-, <br /> r �t�t f fj� <br /> fTocoad by Mobilo Laboratory lar Kalil ❑nnlycrs (Signalwa) �(/ /�-!. <br /> C DateJ7lm• <br /> MDispatched by (Signature) Unto/Trme liocoived for Laboratory by <br /> DatalTlm• <br /> Method or Shipment <br /> 1-aborvAory Name <br /> Special Instructions , A C- <br /> I hereby a horl:e the pellormanoe of the above Indleated moth <br />
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