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ARCHIVED REPORTS_XR0008864
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_XR0008864
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Entry Properties
Last modified
10/10/2020 10:37:57 PM
Creation date
7/9/2020 10:20:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008864
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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0 . <br /> Unramar Inc. BEACON <br /> d CHAIN OF CUSTODY REPORT <br /> Beacon Station No. Sampler(Print Name) Date Form No J <br /> ANALYSES i / Of I <br /> Project No Sampler(Signature) <br /> c <br /> Project Location Affiliation <br /> Q � c <br /> �-, Mo <br /> Sample NoAdentification Date Timetab No m a o <br /> z REMARKS <br /> f lIl <br /> t <br /> A LV <br /> ' <br /> RECEIVED ' <br /> k — <br /> " 1 � <br /> J%V INITIAL <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> J <br /> f ,., <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> a <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> Report To Bill to ULTRAMAR INC <br /> 525 West Third Street <br /> Hanford, CA 93230 <br /> Attention <br /> WHITE Return to Client with Report YELLOW Laboratory Copy BINK Originator Copyti�o <br /> I <br />
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