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ARCHIVED REPORTS_XR0003594
Environmental Health - Public
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EHD Program Facility Records by Street Name
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H
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HAZELTON
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375
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2900 - Site Mitigation Program
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PR0540905
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ARCHIVED REPORTS_XR0003594
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Entry Properties
Last modified
2/3/2020 9:45:27 PM
Creation date
2/3/2020 8:53:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003594
RECORD_ID
PR0540905
PE
2960
FACILITY_ID
FA0023406
FACILITY_NAME
SIERRA LUMBER MANUFACTURERS
STREET_NUMBER
375
Direction
W
STREET_NAME
HAZELTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
147120808
CURRENT_STATUS
01
SITE_LOCATION
375 W HAZELTON AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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.■.�.■ ■t>• IMI Will 11111111 1111111 >•■ tftftfi ■■■Ir �� ■� fly f� !■ <br /> Advanced Advan CHAIN OF CUSTOC&ECORD <br /> ( � <br /> GeciEnuironmental, Inc. Date L{ 13page <br /> 837 Shaw Road-Stockton, Californta-95215 - (209)467 1006- Fax(209) 467-1118 <br /> Client 6a a, <br /> Project Manages' l l <br /> - Tests Required <br /> ,one wqmber <br /> Sa plers (S nale) Invoice AGE <br /> Protect Name [ Client <br /> Sample Type ❑ <br /> v � � <br /> Sample Location Date Time Weser Solid No of /+� Notes <br /> Number Description Comp Grab Air COrtts <br /> V,4�j 7? X�/-1\A X I <br /> Rel �rs a attire Received y (Signatu/7 re) <br /> Reb fished W(Signature) Rscelved by (Signature) DatofTlme <br /> 14e13nquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatelTims <br /> i <br /> Dispatched by (Signature) Datefrima <br /> lReceived forLabotato7 ( Datel7ime <br /> Method of Shipment f bibotato ame — <br /> Spaolal Instructions V <br /> I her thoriza 1h art once of the above indicated work <br />
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