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ARCHIVED REPORTS_XR0011416
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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FREMONT
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4100
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3500 - Local Oversight Program
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PR0545177
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ARCHIVED REPORTS_XR0011416
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Entry Properties
Last modified
1/13/2020 5:24:57 PM
Creation date
1/13/2020 4:11:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011416
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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SJGOV\wng
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EHD - Public
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CHAIN OF CUSTOD%ECORD <br /> Advanced I i <br /> GeaEnvironrnental, Inc. -- <br /> Date " ' Paige of <br /> 837 Shaw Road-Stockton,California-85215-(209)487-1408-Fax(209)487.111a <br /> aient C, Project Manager Teas Required <br /> VV% ('t,-:t4 ,, <br /> Phone Number <br /> �.����'•� � tri � <br /> Samplers: (Signature _'ti r Invoice: <br /> Project Name � r;, - £��• .� " .` AGE B Ciierrt ❑ <br /> SarriSarrtpte Location Dale Time ple TypeS'w No of rt Notes <br /> NUIEtbeK Di3sCriptiOdl Camp, Gras. Air C". .. <br /> Lj <br /> it <br /> II <br /> I <br /> 6 <br /> muie y by.: Jgn ra } Received by. +S <br /> '.•.ft)at �flYe <br /> nqu s � �namure} i" iiacaiwd by:($iSnsttrre} ,. <br /> �X <br /> Asfi <br /> nqu :(Siprtatum) Relived by Mobile Laboratory ler field analysis:(ftn*Wn* � Uatefftare <br /> I e <br /> Dispatched by: (Sionatufa) Data me Dateftime <br /> I. <br /> M4thod of 8hipnisM: ¢ Laboratory Name <br /> $peGiAl Inilru6tieni' r i ° ; i hereby authorize the PlAormanae of the above Indicated~torts.. <br /> If <br />
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