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FIELD DOCUMENTS_FILE 1
Environmental Health - Public
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EHD Program Facility Records by Street Name
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G
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GRANT
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308
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2900 - Site Mitigation Program
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PR0542014
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FIELD DOCUMENTS_FILE 1
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Last modified
1/16/2020 5:31:35 PM
Creation date
1/16/2020 3:56:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
FileName_PostFix
FILE 1
RECORD_ID
PR0542014
PE
2960
FACILITY_ID
FA0023306
FACILITY_NAME
LARRYS AUTO REPAIR
STREET_NUMBER
308
Direction
N
STREET_NAME
GRANT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
308 N GRANT ST
P_LOCATION
01
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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FGL ENV,,,,.AONMENTAL r <br /> ANALYTICAL CHEMISTS <br /> CHAIN OF CUSTODY � L111 I'�II <br /> DATE: Ib�I�� f `a 1 j <br /> JAN 101999 <br /> CLIENT: ENVIRONMENTALrrALTH <br /> ioizs <br /> ADDRESS: P d ()6y- Sw <br /> PHONE NUMBER: 2a60 1 <br /> PROJECT NAME: C��Gw� �`�✓ � /YILZ <br /> PROJECT MANAGER: Iii 6fC M-eriz <br /> SAMPLERS: <br /> Sample Location Date Time Number of Tests Date <br /> Number Description Sampled Sampled Containers Required Needed b <br /> 1 s$ 5`ID pw rasess ,Faa;'� <br /> i P -{, �caiocso c <br /> Z oPfbsf4 OF Eill- �r: pvM ( 6TxryjEDa�T1 <br /> 3 t��si�a'�LTavJ� a�Iq�B$ %56�w• ( 7 NC*W CLHgebl ) <br /> PG 6 CSy�O 1 <br /> Relinquished By: L' Recd y: Date Time <br /> Relinquished By: Received By: Date Time <br /> Relinquished By: Received By: Date Time <br /> MAW OFFICE- 853 CORPORATION STREET- P.O.BOX 272 BRANCH OFFICE- 2500 STAGECOACH ROAD <br /> &LABORATORY SANTA PAULA.CALIFORNIA 930640272 k LABORATORY STOCICTON,CALn'-0RNLA 95205 <br /> (805)525-3824-(805)659-0910 (209) <br /> 9481 <br /> FAX 09)942 0423 <br />
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