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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FREMONT
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2900 - Site Mitigation Program
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PR0001575
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FIELD DOCUMENTS
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Entry Properties
Last modified
1/14/2020 4:04:02 PM
Creation date
1/14/2020 3:27:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0001575
PE
2951
FACILITY_ID
FA0004590
FACILITY_NAME
BUFFALO TANK CORP
STREET_NUMBER
5709
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
10123019
CURRENT_STATUS
01
SITE_LOCATION
5709 E FREMONT ST
P_LOCATION
99
QC Status
Approved
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EHD - Public
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Gond(,_ Earth Technologies, Inc. J.&I 1093 <br /> CHAIN-OF-CUSTODY f=-- 6—Dc)' <br /> El 21663 Brian Lane 1125 N Golden State B vd., Suite H ❑ 1108 C Airport Blvd. <br /> 1670 P.O. Box 3095 P.O. Box 3448 P.O. Box 30035 <br /> 04 nJ� I .Sonora, California 95370 Turlock, California 95381 Pensacola, Florida 32503 <br /> T ( i:(( 8-9234 <br /> FAX(209)532-0773 F2 32-0361 AX(2609)668-9248 FAX (9W)454 <br /> 77-0534 <br /> 31 wkVe�_fc,; (Ais3sG, <br /> SHIPPED TO: SEND RESULTS TO: / <br /> NAME: L ` <br /> OFFICE: <br /> ►r�lnet'a� s�iri+s Tutlo�k, CA 9 �1 <br /> El PLEASE FAX RESULTS: 1 • �Qtr1+� ttnrl('ilS PROJECT: l3I.rF�z��o T>gnl� Cav�o�tvl�'r <br /> P JEC N T s( Verification • <br /> . NO.1 — r( �p � �6 <br /> of <br /> SAMPLED BY: con- <br /> (Signature) <br /> o Py <br /> (Signature) con <br /> rain- Ne <br /> f� <br /> Date Time Sample ID REMARKS : MISC. <br /> 6i—X93 14Co 6 5'1&-t.k2C --1 1 XI/K I I I FAM11 <br /> 143T 5 -TeV_.0- t 'YZ X X I I jp II)AI <br /> I4Q; 10 , Iw„ '.� `[ -2\'/t' 1 FA/x/3 <br /> F�t.z/6 <br /> JGM 6q <br /> 5P`(A6T 2- I =�I,Z <br /> Iv S - SPNo1 <br /> Relinquished By' Date: Tim : Received By: �/ Date: Time: <br /> (Signature) �(� (Signature) �/ <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book 0MO. Gw HCS cea„u>.,,,,row,02 <br />
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