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REMOVAL 1993
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231482
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REMOVAL 1993
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Entry Properties
Last modified
9/12/2018 5:03:19 PM
Creation date
9/12/2018 4:56:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL 1993
FileName_PostFix
1993
RECORD_ID
PR0231482
PE
2361
FACILITY_ID
FA0000720
FACILITY_NAME
MADSENS SUNRISE DAIRY
STREET_NUMBER
239
Direction
S
STREET_NAME
STOCKTON
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
25927805
CURRENT_STATUS
02
SITE_LOCATION
239 S STOCKTON ST
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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GeoAnalytical Vaboratories, Inc. <br />1031 Kansas Ave., Suite C <br />Modesto, California 95351 <br />Client <br />Address <br />CHAIN OF CUSTODY <br />Zip <br />r <br />D <br />co <br />M <br />Phone (209) 572-0900 a <br />Fax !1(209) 572-0916 <br />07366 c <br />Phone 6 <br />CC to:_M1C4 ti _ `t' KtTt{ <br />Zd41t g,g —:�(qN <br />F.P,)C -P 62L)°r)(&OL( —o( r <br />PROJECT ID <br />_rJJ% ( <br />J <br />o. ANALYSIS <br />of <br />°0n <br />fain- <br />ars/ <br />• / <br />REMARKS <br />Y: (signature <br />1 -9 ) <br />`J <br />sampe <br />e Sample ID <br />ate)me GrO � P <br />)<'x 1>4 <br />INX— <br />o <br />X <br />EQ -30-1 <br />D121� <br />inqu,shed b ignature): <br />at <br />Z; <br />Time <br />1 <br />Received by (sig <br />ate <br />Time <br />3.1 <br />Rel, shed by (signature): <br />D&to <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Relinquished by (signature): <br />Date <br />Time <br />Received by (signature): <br />Date <br />Time <br />Site Time: <br />Start: I=_�o Finish:Z=LJ5 <br />Total Hours: �,z5 <br />Driving Time: '�tt <br />Start:I f I S Finish:J-Co Total Hours:Q S <br />Mileage SO Pities <br />Garok Graphic¢ (209) 521J667 <br />Approved By`l j6�j n <br />8 <br />
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