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ARCHIVED REPORTS XR0007281
Environmental Health - Public
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EHD Program Facility Records by Street Name
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EIGHT MILE
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15135
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2900 - Site Mitigation Program
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PR0518132
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ARCHIVED REPORTS XR0007281
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Entry Properties
Last modified
7/10/2019 7:05:43 PM
Creation date
7/10/2019 11:54:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007281
RECORD_ID
PR0518132
PE
2960
FACILITY_ID
FA0013716
FACILITY_NAME
H & H MARINA
STREET_NUMBER
15135
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
STOCKTON
Zip
95219
APN
06908021
CURRENT_STATUS
01
SITE_LOCATION
15135 EIGHT MILE RD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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• 0 <br /> � Advanced CHAIN OF CUSTODY ECORD <br /> GeoEnvironmental, Inc. Data j 61 t- Page <br /> of� <br /> r, 837 Shaw Road- Stockton California-95215-(209)467 1006- Fax (209)467-111A <br /> Client ` Project Manager <br /> 41-L,�M ���r' r>%t "I r Ml! `�,► h Tests Required <br /> Phone Number <br /> Samplers (Signature) � Invoice <br /> Project Name ] > �\ AGEDClient E]6 <br /> Sample Location Date Time Water Sample Type Solid No of �� Notes <br /> Number Description Comp crab Air Cants <br /> 17� } OIL <br /> I� <br /> � X <br /> )< V` X", <br /> e inqu a y Tleceived by (Signature) DatefTime <br /> Relinquished by (Sigmdurey Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date[Time Received for Laboratory by DatelTime <br /> Method of Shipment Laborater e ' <br /> ,7 <br /> Special Instructions I hereby authorize the performance of the above Indicated work <br /> r <br />
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