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ARCHIVED REPORTS_XR0006895- CASE 2
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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Y
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YOSEMITE
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2900 - Site Mitigation Program
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PR0506426
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ARCHIVED REPORTS_XR0006895- CASE 2
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Entry Properties
Last modified
7/27/2020 11:57:16 AM
Creation date
7/27/2020 9:43:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006895- 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
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LSauers
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EHD - Public
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�r r� rr rr rs rr r rr r rr rir rf r r� rr r� �■r� r rr <br /> g�3 <br /> Advanced CHAIN OF CUSTODALCORD <br /> 7 GeoEnvjronmental Inc Date Page of <br /> 4005 North Wilson Way Stockton California-95205 (209)467 1006 Fax(209)467 1118 --, / <br /> 1 Doi(oC.Q t t(if <br /> L. C��C <br /> Client �i � y r � �, Protect Manager <br /> Tests Required <br /> Phone Number <br /> Samplers (Signature) 76 3� Invoice <br /> Project Name ./ Cyy '�,�� AGE [/ <br /> Client <br /> Sample Location Sample Type No of &, ", /1 /)/Date Time Water Solid , , ' , t <br /> Number Descnptron 84848 ' <br /> Comp Grab Alf COntS <br /> 7 � <br /> 1 <br /> Mev, <br /> 1 -12-511, `12 b 1; 1 r N 84849 <br /> ' 84850 <br /> i <br /> 84851 <br /> r 84852 <br /> c) �> 1 <br /> to 84853 <br /> I ( <br /> 84854 <br /> e inquis ed by (Signature) e etl by ( ignat � Date/Time <br /> L.P7t_Q,�C etre + <br /> U dctic. l Gc-cc� IL Ja; / 1-13-99 /0:-70 <br /> Relinquished by (Signature) Reeeived by (Signalu ) DatelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory lot Heid analysis (Signature) Date/rime <br /> Despatched by (Signature) Date/Time FlIeceyedlor-Labofaloryby Date/Time <br /> Method of Shipment Laboratory Name <br /> (2A10VEer1 8A - > l . <br /> Special instructions BOAS ON METALSOTHER I hereby aulhorizeJI he perlormance of the above indicated work <br /> 14 <br /> 15,091WONDITION2— APPROPRIATE <br /> HEAD SPACE ABSENT--V_ COWARDS � <br />
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