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ARCHIVED REPORTS XR0009108
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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3147
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3500 - Local Oversight Program
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PR0544705
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ARCHIVED REPORTS XR0009108
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Entry Properties
Last modified
7/29/2019 11:12:02 AM
Creation date
7/29/2019 10:43:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009108
RECORD_ID
PR0544705
PE
3526
FACILITY_ID
FA0003754
FACILITY_NAME
CALIFORNIA FUELS
STREET_NUMBER
3147
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
17512003
CURRENT_STATUS
02
SITE_LOCATION
3147 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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• USTODIRECORD <br /> Advanced CHAIN OFC < <br /> Date k 21-7j,1, Pg, <br /> � a <br /> "- GeoEnvironmental, Inc. <br /> 837 Shaw Road -Stockton,Callfomia-95215-(208)467-1006-Fax(209)467-1118 <br /> Cliarrt w. r�.� , � � - � P"MOWQK <br /> � ': � Testsr�d <br /> Phone Number <br /> Samplers:,(Sigriature) Invoice: <br /> AGE <br /> Project N �. �` Mont <br /> Sample Location Date <br /> Type No. of Notes <br /> Notes <br /> Dane Time Water Solid <br /> Nun,dw DescriptionAir camp, Grab. <br /> C'p� <br /> a� 121k. <br /> LS ' l <br /> `+�`{k;� �.:����'._4� ��.�i«S;j 1 J� i L:&� -1S: � <br /> , <br /> 14 <br /> Ew „ na ure <br /> ,inquuro Date, . <br /> e �s y: a9 <br /> t. :., 1 <br /> Relinquished by: (Signature) Received by:(Signature) Date/Time <br /> e[inqu s enature) Received by Mobile Laboratory for field arealyiir:(Signature) <br /> Dispatched by: (SVnature) pa/pfTime r EZRatowy Dat rTi�te <br /> Method of Shipment r. �ab8rat0(Y�iirR• <br /> Special tnstrustiona: <br /> ti i hereby sutborizt,the parfarmance of the 4,bove indicated work <br />
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