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ARCHIVED REPORTS_XR0008824
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WATERLOO
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2358
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2900 - Site Mitigation Program
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PR0543607
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ARCHIVED REPORTS_XR0008824
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Entry Properties
Last modified
10/10/2020 10:07:42 PM
Creation date
7/9/2020 10:12:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008824
RECORD_ID
PR0543607
PE
3528
FACILITY_ID
FA0006343
FACILITY_NAME
STOCKTON MOBIL 3*
STREET_NUMBER
2358
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14118221
CURRENT_STATUS
02
SITE_LOCATION
2358 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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LSauers
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EHD - Public
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hanc. 'S ' <br /> mar I <br /> COCON <br /> CHAIN OF CUSTODY REPORT f j <br /> Beaoon Station No SaName) Date Form No <br /> L J r mp ( �rJ t L r.2 ANALYSES �` ��"`f of <br /> Project No. Sarno "(Slgnalure�)L Y <br /> Y <br /> Project Location Affiliation — <br /> oL o� #00-1 Z v� jzrvJ / /L <br /> XNN o <br /> SampleNoildenti'ication Date Time Lab No z REMARKS <br /> (�- o2Z2.-M(AJ r0 ;2o <br /> d222- roL,-)(o 1l;y5- ~ 07 <br /> 00) _ ro <br /> UJ 22 2- 110w 4-5 �D - ► <br /> Reli hed by (Signet A tbn) Dal$ Time Receivedby (Signature/Affiliation) Date Time <br /> Relinquished by (Signature/Affiliation) Date Time Received by (SignaturelMation) Date Time <br /> Relinquished by (Signature/Affiliation) Dat !ime Received by (Signature/Affiliation) Date Time <br /> Ne, <br /> Report To Bill to UJAAMAR#C <br /> 525 West Tifird Street <br /> Hanford,CA 93234 <br /> �.�, Attention Joc,-- ALOP- <br /> ekzr__ _ _ f <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 32-O00i1AD <br />
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