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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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4 (STATE ROUTE 4)
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17750
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2900 - Site Mitigation Program
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PR0501477
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FIELD DOCUMENTS
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Last modified
11/20/2024 9:09:21 AM
Creation date
1/24/2020 2:24:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0501477
PE
2965
FACILITY_ID
FA0005116
FACILITY_NAME
SMS BRINERS INC
STREET_NUMBER
17750
Direction
E
STREET_NAME
STATE ROUTE 4
City
STOCKTON
Zip
95206
APN
18314010
CURRENT_STATUS
01
SITE_LOCATION
17750 E HWY 4
P_LOCATION
99
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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Send Invoice To: <br /> () <br /> CHAIN OF CUSTODY RECORD rG GF Leo / 0 / 3 <br /> Send Lab. Results To: LSCE address below <br /> Client aline LSCE Project No. <br /> SMS BRf J6K5 0 ' •OVie° <br /> y0 -7 - 3 <br /> P,,*Cl ;:—V4 �O� b <br /> �AmP,LiivU etc 9v <br /> F'0*I memsu Slmpinid ? �" <br /> -TOE SCACManuivi GARY WLtesT <br /> Trv! �ibc' 0P d <br /> SPmnk Time Cp,porw D!U SMnpk 0lrCrpl.m Nurnblr <br /> numwr aMrlPkd Grab I= of <br /> Matrix (Location Details) conrsinv!J •,, <br /> l <br /> 09:95 1 Ha- ) Iz-19.90 5M5 BRiNov-ks w64- <br /> Q 10100 WELL A I X i11 <br /> C Cr <br /> O WELL <br /> Z z2 XX <br /> S"5 y <br /> Vl F-4 •`�'12/. <br /> z <br /> � <br /> C- 3 <br /> 07II z5 h <br /> ® 12: 10 n Mw_� A <br /> 1250 MW-9t3 I X <br /> Sample Container Description <br /> 1. Polyethylene, no preservatives 4. Polyethylene — sterile -. <br /> 2. Polyethylene, pro*clditled 15. 40 all Glass Vlal, duplicate <br /> a. 'Glass, screw cap 14. y „t, TW,kL SA6 <br /> 5�.11w! Coreo•^Y Dm T.n! <br /> R«ino ,W bv ,✓� ,CSCE <br /> /2-/Y-10 170u <br /> 11006hed br <br /> RNinpuidnd by <br /> LA--dr•d by y 11y'7 <br /> lfk�w to, <br /> to <br /> ILA L/ <br /> ® Luhdortl and Scalmanlnl, Consulting Engineers <br /> = 500 First Street. Woodland, Ca. 95696 <br />
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