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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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3500 - Local Oversight Program
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PR0545177
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/13/2020 5:37:29 PM
Creation date
1/13/2020 4:06:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545177
PE
3528
FACILITY_ID
FA0002123
FACILITY_NAME
GREWALS GAS & LIQUOR*
STREET_NUMBER
4100
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95215
APN
14333046
CURRENT_STATUS
02
SITE_LOCATION
4100 E FREMONT ST
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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McCampbell Analytical, Inc. CHAIN-OF-CUSTODY RECORD Page I of t <br /> 1534 Willow Pass Rd <br /> Pittsburg,CA 94555-1701 <br /> Pitts252-9262 WorkOrder: 0706775 ChentlD: AGES <br /> Q EDF ❑Excel 0 Fax Q Email ❑HardCopy ❑ThirdParty <br /> Report to: Bill Requested TAT: 5 days <br /> Tim Cuellar Email: tcuellar@advgeoenv.com Erica <br /> Advanced GeoEnvironmental, Inc. TEL: (209)467-100 FAX: (209)467-111 Advanced Geo Environmental, Inc. <br /> 837 Shaw Road ProjectNo: Grewal's Market 837 Shaw Road Date Received OG129/2007 <br /> Stockton,CA 95215 Po: Stockton,CA 95215 Date Printed: 06/29/2007 <br /> ebart@advgeoenv.com <br /> Requested Tests(See legend below) <br /> Sample ID CtientSamplD Ntatrix Collection Date Holdl 1 1 2 1 3 1 4 1 5 6 7 1 S 1 9 110_ 1 11 12 <br /> 0706775-001 MW-41062807 I Water 106/-28/079:2.3:00 1 Ell A I "A- <br /> 7. <br /> 4 <br /> Test Legend y <br /> 1 PBSSCV W 1 2 PREDF REPORT I 4 5 <br /> 61 7 1 1 F8 I I 9 10 <br /> 11 12 <br /> Prepared by: Rosa Venegas <br /> Comments: <br /> NOTE: Samples are discarded 60 days after results are reported unless other arrangements are made. Hazardous samples will be returned to client or disposed of at client expense. <br />
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