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ARCHIVED REPORTS_XR0008832
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_XR0008832
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Entry Properties
Last modified
10/10/2020 10:37:27 PM
Creation date
7/9/2020 10:16:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008832
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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umi`amar Inc. z BIEACO <br /> CHAIN OF CUSTODY REPORT <br /> { <br /> Reawn Statlan Na Sampler(P(nt Name) Dare Form Na <br /> ANILYSES - Z -� of � <br /> ProJed No Sa ler(Signalu ) <br /> _ <br /> (4r E <br /> °I '0 I <br /> Prided Location Afftr ion 1 91 <br /> ` N <br /> 1 Z <br /> Sam a NoJl9enttticalr9_ft ______ <br /> pato Time L Na. REMARKS <br /> x <br /> RalM isWb . ignatura'Affr6atron) Date Tim Recemwby.(Signature ff7iatian) Data Trrne <br /> e in hed (Signsturewfir►atron) I Date Time Recelv by,(SrgnaturelAffillloft) Date TW9 <br /> I <br /> Reim rshed b1► (SrgnaturefAfliliatwn) Date Time Received by.(ftnature?Affilatrorl) Date Tim <br /> Bluto ULTRAMAR INC <br /> 525 West Third Street <br /> Hanford,& ked j ! ZQ� Attentfo: 93230 <br /> PINK-OriginatoR Copy <br /> WHIM Return to Client with report YELLOW Laboratory Copy <br /> d <br />
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