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ARCHIVED REPORTS_XR0002214
Environmental Health - Public
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EHD Program Facility Records by Street Name
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G
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GRANT LINE
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2420
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3500 - Local Oversight Program
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PR0545209
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ARCHIVED REPORTS_XR0002214
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Entry Properties
Last modified
1/28/2020 8:58:09 AM
Creation date
1/28/2020 8:39:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0002214
RECORD_ID
PR0545209
PE
3528
FACILITY_ID
FA0003963
FACILITY_NAME
TRACY76
STREET_NUMBER
2420
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
Tracy
Zip
95377
APN
23802006
CURRENT_STATUS
02
SITE_LOCATION
2420 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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IlRdvanr✓ed CHAIN OF CUSTODYCO <br /> / <br /> _= GeoEnvironmental, Inc. �� 1 ��u Date '� Page <br /> 4005 North Wilson Way-Stockton,California-95205 (209)467-1006-Fax(209)467-1118 <br /> Client Pro)e M ager Tests Required <br /> P e Npmber <br /> rs (signature) Invoice <br /> AGE.FeK <br /> Project Name Cherd 1] <br /> Sample Type <br /> Sample Location Date Time Water 5ohd No of Notes <br /> Number Description Comp crab Air Conts <br /> JV <br /> u I! 310 Y, <br /> 1/ 00 <br /> rL i77 <br /> h, )7kil-i 7.4m 4� 7 1335 <br /> e1. iihdd by' (Sig lure Ha Ved by ignature V }3 klFt`iC nTiIm <br /> �1 r fi <br /> R hnquished by (Signature) } eceive (S ria } -- DalelTime <br /> AK Wr <br /> Relinquished by (Signature) Mo ila+ btirfafu1_toLfield analysis (Signature} DalelTime i <br /> Drspalchad by (Signature) Date/Time R el ed for Laboratory byr ra DaletTlme <br /> Method of Shipment LaboratoXK]�, <br /> Special Instructions (( [ LII I hereby authorize the pGrIormance of the ab s Indicated work <br /> G ` { ti <br />
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