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ARCHIVED REPORTS_XR0003123
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0011521
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ARCHIVED REPORTS_XR0003123
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Entry Properties
Last modified
2/5/2020 4:24:59 PM
Creation date
2/5/2020 2:09:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003123
RECORD_ID
PR0011521
PE
2950
FACILITY_ID
FA0004003
FACILITY_NAME
MOHR-FRY RANCHES
STREET_NUMBER
950
STREET_NAME
INDUSTRIAL
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
17728052
CURRENT_STATUS
01
SITE_LOCATION
950 INDUSTRIAL DR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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V4'HF Environmental Consultants, Inc <br /> Post Office Box 6729 <br /> x' Modesto, CA 95355-6729 <br /> CHAIN OF CUStODY RECORD (209) 579-8138 � <br /> <S <br /> PROJECT NAME: <br /> S7'k— .� Cf <br /> ~ D <br /> / 671-YR <br /> SAMPLERS (signature) : _ Number <br /> z of � REMARKS <br /> Ration Con <br /> NumberjDate ime 4 Station Location tainers <br /> u t� <br /> �f _4 <br /> $ uO A.Ir '� 3 '�� I <br /> C / 3 <br /> 1 Z3 j Jif w / �3 <br /> n wZ r = <br /> 17 <br /> C 9 <br /> a3a , w 3 y 73 GC l 7 i! <br /> .2 All VV 3 73 G C / r <br /> I <br /> i <br /> I. <br /> Relinquished by(signature): Date / Time WRec (si re): Relinquished by(signature) Date / Time Received by (signature): <br /> Company or A enc .r a any or Agenty: 9 y'e <br /> Relinquished by(signature): Date / Time Received b (si nature g )• Relinquished by: Date / Time Received by (signature)- <br /> _ <br /> Company or Agency. Company or Agency: Company or Agency. Company or Agency: <br /> I <br /> Relinquished by(signature): Date / Time Received for Laboratory by Date / Time Remarks/Shipping Information <br /> s <br /> Company or Agency: (signature) , <br /> I ilk <br /> a� � WN M M <br />
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