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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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99 (STATE ROUTE 99)
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10878
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3500 - Local Oversight Program
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PR0544832
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/19/2024 1:57:05 PM
Creation date
9/16/2019 12:09:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544832
PE
3528
FACILITY_ID
FA0001146
FACILITY_NAME
MORADA CHEVRON FAST N EASY #60*
STREET_NUMBER
10878
Direction
N
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95212
APN
08607002
CURRENT_STATUS
02
SITE_LOCATION
10878 N HWY 99 E
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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I D <br /> Z ty/ <br /> GeoAnalytical Laboratories, Inc. ro <br /> Phone (209) 572-0900 0 <br /> 1031 Kansas Ave. <br /> " Fax #(209) 572-0916 <br /> Modesto, California 95351 '°`I `' �* <br /> . 93 J16L -2 43 <br /> -5949 <br /> I CHAIN OF CUSTODY ,,.. <br /> Client I Phone <br /> CC to: fop <br /> Address - <br /> Zip- <br /> No. <br /> ip ®.� <br /> PROJECT ID ANALYSIS <br /> of G/\ <br /> ( L <br /> con- <br /> 1<SAA7IPCED BY: (signature) tars <br /> REMARKS <br /> samp e <br /> tyPe Sample ID <br /> Date Time <br /> Grab Comp. — <br /> 10.05 X �. I l v <br /> I <br /> R E; is by(si tures a e Time Received by(si a at E Time <br /> L� 1I�aL la:G <br /> Relin4wt§red by (signature): D to Time Received by(si nature): Date Time <br /> Relinquished by (signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> _F Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Site Time: ; S Y A Driving Time.. ; <br /> Start: 10-()5 Finish: Total Hours: Start: = Fini Ilh:q r� Total Hours: i <br /> i <br /> Mileage Approved By <br /> { <br /> Gardi Graphics(209)527-3667 <br /> t <br />
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