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ARCHIVED REPORTS XR0000759
Environmental Health - Public
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EHD Program Facility Records by Street Name
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B
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BEVERLY
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104
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2900 - Site Mitigation Program
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PR0540667
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ARCHIVED REPORTS XR0000759
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Entry Properties
Last modified
2/8/2019 10:09:32 AM
Creation date
2/8/2019 9:28:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000759
RECORD_ID
PR0540667
PE
2960
FACILITY_ID
FA0023252
FACILITY_NAME
WELDON CHURCH PROPERTY
STREET_NUMBER
104
Direction
W
STREET_NAME
BEVERLY
STREET_TYPE
PL
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
104 W BEVERLY PL
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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PRECORD <br /> ( Advanced <br /> CHAIN PF CUSTOD <br /> Of <br /> _=- GeoEnvironmental Inc. Dale Page <br /> 837 Shaw Road- Stockton,California-.95215--(209)467-1006- Fax(203)467-1118 <br /> iect Manager <br /> Client <br /> �- , ' P Tests Required <br /> 70M 1jumber <br /> amplers: _�ignature) Invoice: <br /> 1 <br /> i AGE <br /> Project Name f <br /> Client <br /> Sample Location pate Time Water Sample <br /> Tye Solid No.of Notes <br /> Number Description Comp. arab. Air Coats. <br /> -aro 1 11 <br /> eevey: rgnatur <br /> e Inqury: r store <br /> D to1Ti , <br /> s2f 4 fl? <br /> i <br /> fleiinquiihed by: (Signature) Received by: (Signature) DatelTisne <br /> Relinquished by: (Signature) Received by Mobile Laboratory for tietd analysis:ftnsture) Date rime <br /> Dispatched by: (Signature) Daterrime Receive for Laboratory by: Date/Time <br /> Method of Shipment: Al ( LaboratoryaVo <br /> I hereby a th lie the artor nce of the above indicated worts. <br /> Special instructions: <br />
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