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ARCHIVED REPORTS XR0001668
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CHEROKEE
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16
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2900 - Site Mitigation Program
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PR0522479
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ARCHIVED REPORTS XR0001668
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Entry Properties
Last modified
5/17/2019 3:13:16 PM
Creation date
5/17/2019 2:19:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001668
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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CHAIN OF CUSTOD RECORD <br /> =� <br /> Geological Audit <br /> Services , Inc . ZDate Page <br /> menta ftolessiona/s <br /> of o2. <br /> fir IBpp West March Lane Suite/1 Sloekton Cnllfornin 95207 (209)95G 0264 <br /> Client L Z)/t4 Project Manager Tests Required <br /> 8 <br /> Ph ne Number <br /> 704 <br /> Samplers (Signature) 4 Invoice <br /> 1 <br /> Project Name GeoiAudd,Ell <br /> Client ❑ <br /> Sample Location Sample Type ,L � <br /> Number Description date Time Water Air Solid No Conof <br /> Comp Ornb t, <br /> �Z 9 �'74`f IG,�/� l-tQ off (_p X 1� <br /> X ix <br /> &inqui rgna re Tl— Oalell me <br /> C <br /> Relinquished by (Signature) Received by (Signature) DS , ' <br /> Relinquished ,� A r Dat /Time <br /> Relrn b <br /> q y (Signature} rlocowod by Mobile Laboratory for h77/'x/ <br /> old analysis (Signature) DaterT#m• <br /> Dispatched by (Signalure) 6alothma Itocowed tot Laboratory by <br /> Oats/Time <br /> Method of Shipment Lnboralory Nano <br /> Special Instructions I hero uthoilze the perf�ance of the above Indicated work <br /> JILO <br /> ILR11, r I - <br /> -_..� , . i <br />
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