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ARCHIVED REPORTS XR0008536
Environmental Health - Public
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EHD Program Facility Records by Street Name
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E
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EL DORADO
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1901
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3500 - Local Oversight Program
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PR0544688
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ARCHIVED REPORTS XR0008536
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Entry Properties
Last modified
7/24/2019 10:07:12 AM
Creation date
7/24/2019 9:55:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008536
RECORD_ID
PR0544688
PE
3526
FACILITY_ID
FA0001946
FACILITY_NAME
El Dorado Food Mart
STREET_NUMBER
1901
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16508019
CURRENT_STATUS
02
SITE_LOCATION
1901 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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� Advanced <br /> CHAIN PF CUSTOE&ECORD <br /> GeoEnvironmental Inc. Date 9 3*1 Page of <br /> 837 Shaw Road-Stockton, California- 95215-(209)467-1006- Fax (209)467-1118 <br /> Client Project Manager <br /> � �e���,►.., Tests Required <br /> hone N ber <br /> Sa lers (StpatuirdX Invoice <br /> Project NameaUAc( C-�t AGE � <br /> ( <br /> J � Client <br /> Sample Type <br /> Sample Location Date Time Water Air <br /> No of Notes <br /> Number Description Camp crab Ali $ <br /> nquis y Z <br /> ature Received y lgnature f]ate(Ti <br /> &�z.3 Grm�� A <br /> 3 <br /> Re inquished by 7gnature) Received by ;Signature) OstafTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Datef fime <br /> Dispatched by (Signature) Date/Time Received forLaboratory by Da frim <br /> Method of Shipment Laboratory Nre <br /> Special Instructions I hereby authorize the performance of the above Indicated work <br />
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