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ARCHIVED REPORTS XR0001365
Environmental Health - Public
>
EHD Program Facility Records by Street Name
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C
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CENTER
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1201
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3500 - Local Oversight Program
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PR0544188
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ARCHIVED REPORTS XR0001365
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Entry Properties
Last modified
2/27/2019 3:15:14 PM
Creation date
2/27/2019 11:42:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001365
RECORD_ID
PR0544188
PE
3526
FACILITY_ID
FA0006698
FACILITY_NAME
FERNANDOS PLACE
STREET_NUMBER
1201
Direction
S
STREET_NAME
CENTER
STREET_TYPE
ST
City
STOCKTON
Zip
95209
APN
14716003
CURRENT_STATUS
02
SITE_LOCATION
1201 S CENTER ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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iiiiiw �■■ir i>i>w � i•■i i� <br /> •I • CHAIN OF CUSTODOE <br /> Advanced CORD <br /> - GeoEnvironmental, Inc. Date O-U&t Page --� Of <br /> 837 Shaw Road -Stockton, California-95215-(209) 467-1006- Fax(209)467-1118 03 _ ,0 <br /> Client Pre ect Manager <br /> Tests Required <br /> Phone Number <br /> -If C.-7 1d6( <br /> Samplers (Signature) Invoice <br /> Project Name <br /> AGE E4 <br /> t'� (tile IGC_ Client <br /> Sample Location Sample Type No of <br /> Date Time WatSolid Notes <br /> Number Description er Comp Grab Air Conts I�'Q <br /> ilALti`�RJ ��jt� h,rla�L`�1,� rr jv�5 � � f <br /> t.-w`f 0 <br /> -A �►-w tt.z.� 15 -� <br /> ZDateZ' <br /> i urs ed-by gnature eceive y (Signature <br /> lTime <br /> ' 4A-41 -1 <br /> inquished by (Signature) U Received by (Signature) DatelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DaterTime <br /> Dispatched by (Signature) Date rime Received for Laboratory b r Datef ime <br /> Method of Shipment L to Her <br /> I hereb authorize the performance of the above Indicated work <br />
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