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ARCHIVED REPORTS XR0001596
Environmental Health - Public
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EHD Program Facility Records by Street Name
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CHEROKEE
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2900 - Site Mitigation Program
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PR0522479
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ARCHIVED REPORTS XR0001596
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Entry Properties
Last modified
5/17/2019 3:39:22 PM
Creation date
5/17/2019 2:12:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001596
RECORD_ID
PR0522479
PE
2957
FACILITY_ID
FA0015299
FACILITY_NAME
GEWEKE LAND DEVELOPMENT & MARKETING
STREET_NUMBER
16
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04323013
CURRENT_STATUS
01
SITE_LOCATION
16 S CHEROKEE LN
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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=71 <br /> Geological Audit Services Inc . CHAIN OFCUSTQD RECQRD <br /> Ivy Enfaronrnenta Prnfessiona2 Date 1 a'q`� Page l of <br /> �V 1803 Weal March Lane Suite A-Stockton, California-95207 (209)956-0264 <br /> 14 W— <br /> Mem 6 ewe K r to.J �Q Y�e t o ��� r Project Manager <br /> go b mo,I Tests Required <br /> Phone Num r- <br /> -coq gg6-04 <br /> Samplers (Signature) �� Invoice <br /> Project Name Gf w- l4-f ► ^-KA,7 V, GeoAudit <br /> °} Client ❑ <br /> Sample location Sample Type <br /> Number Description Date Time Water Solid No ofNotes <br /> Comp Grab Air Conts <br /> e inquis ad by—Mighatur.1eceive y ignat- ur <br /> J j <br /> DatetTime <br /> Relinquished by (Sig afore) R i d byt re) y <br /> �-1 DatelTime <br /> Rahnqu,shed by (Signature) <br /> Received by Mobile Labo story for field analysis (Signet re) D telTima <br /> Dispatched by (Signature) 17 DatelTime Received for Laboratory by <br /> Oa errime <br /> Method of Shipment <br /> Laboratory Name <br /> Special Instructions G f a A Na I l i Cq <br /> I hereby authorize the performance of the above indicated work <br />
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