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ARCHIVED REPORTS XR0009139
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 XR0009139
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Entry Properties
Last modified
7/29/2019 11:03:07 AM
Creation date
7/29/2019 10:52:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009139
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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mmmmmm Ism M MM M MM M <br /> ( Advanced <br /> CHAIN OF CUSTODWECORD <br /> Date 011—a- Page ofGeoEnvironmental, Inc. <br /> L^— <br /> 837 Shaw Road - Stockton,California - 95215 - (209)467-1006 - Fax(249) 467-1118 <br /> Client Protect Manager <br /> rTests Required <br /> Phone Number <br /> Samplers (Signature) Invoice <br /> i <br /> $ <br /> Project Name ® ����' ` AGE <br /> /' , <br /> j Client <br /> Sample Location ample Type Date Time Solid No of 1•� 79954 <br /> Number Description Water <br /> Comp Grab Air Conts , Z� --- �---- <br /> 79955 _ <br /> 79955 ---- - <br /> 79957 <br /> c ►�'t � z�. j z c� Y xX 79958 ---" <br /> ! LS/0 z�.0 t � r l( 79959 <br /> 799610 5M(A)7102 Z4>1 Ylli'll, /71S 00 <br /> e m s e ignatuf y ce v y (Signalute) Date/Time <br /> e guished by-1812n4Wel Received by (Signature) Dale/Time <br /> r r� V S O&Z FE /,r. , <br /> e nqu re) LW�rFVATION Rece ed by obile Laboratory for field analysis (Signature) Date/Time <br /> '3Q ITIO'APPRUON gig „1 <br /> S AINER <br /> ,'1AVJ R'A8!Nvr_ GdUatelTlme eI() Cj rce or Laboratory by Date/Time <br /> Diapatclr CONTAINERS r� <br /> V,�- z////_ ,4 Method of Shipment TMoratory Name <br /> [t <br /> A <br /> Special Instructions I hereby rize the performance of the above indicated work <br /> ti <br /> J <br />
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