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ARCHIVED REPORTS XR0009130
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 XR0009130
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Entry Properties
Last modified
7/29/2019 11:08:07 AM
Creation date
7/29/2019 10:49:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009130
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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CHAIN OF CUSTODY,RECORD <br /> Advanced <br /> GeoEnvironmental, Inc. Date -�- - Paye r ; of <br /> 837 6haw Road-Stockton,California-96215-(2o9)407-1006 -Fax(200)467A Sia <br /> Client Project'Manager Tests Regtred m <br /> r <br /> / 5 � <br /> Phone NumberLo <br /> t � Q <br /> Samplers (Signature) Invoice. (11 <br /> ACE,0 <br /> Project Mame 4 ! CI{BM ❑ CO <br /> f <br /> 4 <br /> Sample Location Sample Ty INo of <br /> Number Desenptlon Date Time Water Air Said Conts Notes <br /> Camp Grab , <br /> m w) <br /> r o <br /> x <br /> z <br /> I ' <br /> %0V c1d, <br /> el nqulsha y g_,oa uta Recelvia Ey'(111inakure) } ata rpe <br /> e1 nquls ed by (519181ura Received by (Signature) r i)etefTlma <br /> eiingvishad Ey (810"alural Received by/Mobil&Laboratory for field anetyela 131gnature) Date/Time <br /> Urepglched by (Signature) ORION Ime Racalved for Laboislafy byDater;ims <br /> .a <br /> D <br /> filathod of shipment Laboratary Hance <br /> Y � <br /> Special fnslruelloes t heteby autharize the parlormance of the above lndleated work >- <br /> pf <br />
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