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ARCHIVED REPORTS XR0001786
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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3535
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3500 - Local Oversight Program
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PR0544497
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ARCHIVED REPORTS XR0001786
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Entry Properties
Last modified
5/28/2019 3:34:22 PM
Creation date
5/28/2019 2:53:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001786
RECORD_ID
PR0544497
PE
3528
FACILITY_ID
FA0003687
FACILITY_NAME
OLD TRUCK STOP, THE
STREET_NUMBER
3535
STREET_NAME
CHEROKEE
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
13206009
CURRENT_STATUS
02
SITE_LOCATION
3535 CHEROKEE RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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� � llllllla � � � � � � f� I• � f_ fs �� i� �■ >_ � <br /> CHAIN OF CUSTODOECORD <br /> ( Advanced ©ate - Lofos- Page k of <br /> GeoEnvironmentai, Inc. <br /> 837 Shag Road - Stockton, California-95215- (209) 467-1006-Fax (209)467-1198 1� <br /> Client c-c-W ti Project Manager Tests Required <br /> P one Number <br /> Sam firs (Signat re) Invoice <br /> AGE <br /> Project Name �� � r '� Client ❑ <br /> G � i <br /> Sample Type 1 <br /> Sample Location Solid No of Notes <br /> Number Description Date Time Water Air Cortts <br /> Comp Grab <br /> '2— lex- <br /> L6- '� <br /> inquis y nature) ecerve y ignature t <br /> atefTime <br /> III <br /> 0-3t VAPS I t to <br /> ngwshe y (signature) Received by (signature) ©atelrims <br /> Relinquished by (signature) Received by Mobile Laboratory for field analysis (Signature) �( Date/Time <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Date/Ti <br /> Labor Meme <br /> Method or Shipment <br /> special Instructions �.r 1 hereby authorize the perform nee of the above indicated work <br />
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