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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4040
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2900 - Site Mitigation Program
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PR0001963
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Last modified
12/19/2019 11:05:51 AM
Creation date
12/19/2019 10:32:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0001963
PE
2950
FACILITY_ID
FA0003965
FACILITY_NAME
PG&E
STREET_NUMBER
4040
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11702001
CURRENT_STATUS
01
SITE_LOCATION
4040 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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CHAIN OF CUSTODY RECORD AND ANAVS1S REQUEST <br /> o' <br /> BROJE fr N0. PROJECT NAMEJS(TE ANA SiS REQUESTED ` <br /> P.O. N: I u1.� C <br /> Wa�� D I t'C-� �E ��Tc�c�Tor•l SFr<�I( CE .. � � � <br /> rE r- ti <br /> SAMPLERS (SIGY(P <br /> w w 4? Q7 ti <br /> RINT) . �¢ y1 h� Q� <br /> 0 ` �o� o� ,o <br /> SAMPLE IDENTIFICATION DATE TIME ¢ PRES. w U D p �o oaya �ry O <br /> U (5 USED U zcn m� �Q �Q2 Az <br /> OC� co\ roryo\ foryh� t Uva REMARKS <br /> ' f ' ,5 r 2 3012035 X <br /> __NA i <br /> 12 '56 <br /> I 5 �( X <br /> 31 5 x rJorr rla tUFsr c n& 01_/: <br /> SPGY <br /> r - T > - ' 11293 3$ X S <br /> f <br /> 4t —5 1 ri 3 x <br /> +✓ 5 2 �I I X �(- Lit f — A PSC <br /> - S P z - A c D ux X <br /> t t ST — 5 P 3 — Ac F,:) r X13 X 3 X X, 9 r(S f-1 P)l 0 <br /> _pw -.S r - S P,4 - 1/13 ki �I'1y I C/(, Iv <br /> -522 _ r 13 3 y5 X X X �( ' <br /> RELINQUISHED BY: DATE TIME RECEIVED BY- LABORATORY: PLEASE SEND RESULTS TO: <br /> a th <br /> Lt o 1 A0 15 J��tY1�1'Z <br /> - RELINQUI HED BY- /A E TIME RECEtV D . <br /> 00 <br /> s INQUZH BY: DATEI <br /> TfME RECEIVED BY: REQUEST DTUAN ROUND TIME: <br /> (Ple- o (A-,� <br /> \RELINQUISHED BY: DATE TIME RECEIVED BY LABORATORY: RECEI CON ION: PROJECT MANAGER: <br /> '`° ' I�1�'`I, I S b 1,,,- ~ .. 111 UlAl / <br />
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