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ARCHIVED REPORTS_XR0006887- CASE 2
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0506426
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ARCHIVED REPORTS_XR0006887- CASE 2
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Entry Properties
Last modified
7/27/2020 11:29:50 AM
Creation date
7/27/2020 9:42:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006887- CASE 2
RECORD_ID
PR0506426
PE
2950
FACILITY_ID
FA0007416
FACILITY_NAME
STEPHENS MARINE INC
STREET_NUMBER
345
Direction
N
STREET_NAME
YOSEMITE
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13526011
CURRENT_STATUS
01
SITE_LOCATION
345 N YOSEMITE ST
P_LOCATION
01
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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*Advanced <br /> CHAIN OF CUSTODACORD <br /> � <br /> GeoEnvironmental, Inc. MENavl .lc' Date 3 Paye of <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1 OOU Fax(209)467-1118 <br /> Project Manager <br /> Client � ` •� Tests Required <br /> Phone Number` <br /> �Zo9l %k�`���ootn <br /> Samplers S ture) Invoice <br /> AGE <br /> Project Name VEQ - g\Nps <br /> Client ❑ <br /> Sample Location Date Time Water Sample Type Solid No of Notes <br /> L Number Description comp Grab Air Conts r_ <br /> 16618 ' <br /> 16619 <br /> MVU -3 Jo <br /> So <br /> �a ' 16620 <br /> La � r r <br /> r— <br /> �z�o 1662 <br /> 1, 16622 <br /> �cMw L[3o 1— <br /> i <br /> Retnuihed <br /> y n ure eceive y (Signature) ate/Time <br /> `�T 3:00 <br /> by (Sign ure) ung Rec Air o(S`gnnalure) Dalelrtme <br /> b i nalure) Un Redo M-PAP elved Jb Idl obri}le Laboratory for field analysis (Signature) Date/Time <br /> GOOD CONDITION APPROPRIATE <br /> Dispa"YACP M CONTMERS_.....„ Date/Time zved for Labo at b Oate/TEma <br /> —IC <br /> 4tt C'r <br /> Method f Shipm t orat y <br /> Specter slr r <br /> lions I hereby authorize the 0000Fmance of the above Indicated work <br />
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