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ARCHIVED REPORTS_XR0009073
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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W
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WASHINGTON
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2825
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3500 - Local Oversight Program
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PR0545822
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ARCHIVED REPORTS_XR0009073
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Last modified
7/15/2020 2:57:38 PM
Creation date
7/15/2020 1:29:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009073
RECORD_ID
PR0545822
PE
3528
FACILITY_ID
FA0005566
FACILITY_NAME
RIVERSIDE CEMENT COMPANY
STREET_NUMBER
2825
Direction
W
STREET_NAME
WASHINGTON
STREET_TYPE
ST
City
STOCKTON
Zip
95203
CURRENT_STATUS
02
SITE_LOCATION
2825 W WASHINGTON 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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I <br /> GeoAnalytical Laboratories, Inc. CD <br /> 1031 Kansas Ave Phone (209) 572-0900 0 <br /> Modesto, California 95351 Fax #(209) 572-0916 � <br /> CHAIN OF CUSTODY 4230 <br /> d <br /> 1 f�' <br /> V <br /> Client Phone <br />' Address CC to <br /> r� <br /> Zip <br /> 1 <br /> PROJECT ID' No ANALYSIS_ <br /> e s Adof <br /> SAMPLED BY -111n(si a <br /> er REMARKS <br />' samp e <br /> e Sample ID /4 <br /> Date Time pr■a comp <br /> TN <br /> a-g <br /> S <br />' Relinquishe n re} a Time eceiv by st natu Date Time <br /> 5 f� �:� <br /> Relinquished by(signature) Date Time Received 6y signature) Date Time <br />' Relinquished by(signature) Dale Time Received by(signature) Date Time <br />' Retinquished by(signature) Date Time Received by(signature) Date Time <br /> Relinquished by(signature) Date Time Received by (signature) Date Time <br /> ite Time Driving Time <br /> tart Finish Total Hours }f v Start Finish J�/Tatai Hours <br /> Mileage U Approved By �JA <br /> Garon Graphite{209)527 3801 <br /> R �:.�`,��� ,��,id � :� 1933 <br />
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