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ARCHIVED REPORTS_XR0003808
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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_XR0003808
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Entry Properties
Last modified
2/3/2020 9:43:46 PM
Creation date
2/3/2020 9:20:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003808
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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Advanced CHAINF USTODY RECORD <br /> GeoEnvironmental, Inc. Date �� 'A Page / of <br /> 837 Shaw Road - Stockton, California- 55215- (209)467-1006- Fax (209)467-1118 <br /> Client o ect nag <br /> rTests Required <br /> I/IM4 //Iet A <br /> Pi pne quirriber <br /> 5arrip1 s ( pature Invoice. <br /> Project NamAGE <br /> f Client ❑ <br /> Sample Type <br /> Sample Location Date Time No of <br /> Number Description _ Water Alr Solid Conts Notes <br /> Camp Grab <br /> --mmk", 13#1 <br /> 1402 <br /> 2--�Y-r_rl 8 y ;1W <br /> U 2 413 <br /> �n 2-] - 4 <br /> f arch — (OV <br /> ei qu e y i at a ece ve y -MignalUTO) <br /> a!e/tim1wt9 <br /> Reli quish d by (Signature) Recewed by (Signatura) DDa�t�efr me <br /> Relinquished by (Signature) Received by Mobile Laboratory for Hold anaty a (1' <br /> Ignature) Date time <br /> DEspatched by (Signature) Date/timeecei ed! Labor o by 'Qa ea/Time ` <br /> I jV� 1V�fJ} <br /> Method of Shipment La oral am <br /> �Me"b <br /> Special Instructions 11 <br /> 1 hereby ut Drize he Porto r once of the above Indicated work <br /> lllllllllmllllll imli lim _ _ i Mimie>_ eeeere. <br />
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