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ARCHIVED REPORTS XR0000677
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CAPITOL
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6421
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2900 - Site Mitigation Program
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PR0522496
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ARCHIVED REPORTS XR0000677
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Entry Properties
Last modified
2/15/2019 8:28:52 PM
Creation date
2/15/2019 3:43:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000677
RECORD_ID
PR0522496
PE
2957
FACILITY_ID
FA0015317
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95245
APN
05532024
CURRENT_STATUS
02
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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03 q-2b <br /> -, to <br /> Advanced <br /> CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. ' <br /> Date Page t 46 <br /> 837 Shaw Road-Stockton,Calttornia-95215-{248)407.10011-Ftu!(209)467-1 T7 B O <br /> O <br /> Crern <br /> P W <br /> ag <br /> Teats RegUmed N <br /> P NUmber cn <br />� S are) s <br /> Project Name x. travpfce <br /> AGE . <br /> Sample D ❑ � <br /> P Location <br /> am Ty . to <br /> Number Deseription Date Time ater Sand No of m <br /> Comp Grab Air Corns !�/ Notes � <br /> 91P 0tw � <br /> ••e•s^�. :^aa!r• „a=u, <br /> �elr epolxea fiy na aro <br /> oat mn,. <br /> �`ngr,stha by tynaturo � 11 G e <br /> Raaatvod by (9,grralurej <br /> �i n s s (Sspnatura� Oate171ma <br /> tiecelved by Moblle laboratory for Ilald anafys- {glpnatureJ <br /> IlrxtalTime <br /> �fspatctlitd by {811inaturo) ete/Tlme <br /> wad or ratary � - <br /> usur,rma <br /> Nathodof 8hlpmen! <br /> laborato a <br /> 8psa,al tnstruobone a <br /> I hereby or{ze he p rmanpe or the abate Indleated work <br /> C1i <br />
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