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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FREMONT
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3127
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2900 - Site Mitigation Program
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PR0515224
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COMPLIANCE INFO
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Entry Properties
Last modified
2/12/2020 2:53:10 PM
Creation date
2/12/2020 1:46:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0515224
PE
2950
FACILITY_ID
FA0012073
FACILITY_NAME
CURRYS WAREHOUSE
STREET_NUMBER
3127
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
14322015
CURRENT_STATUS
01
SITE_LOCATION
3127 E FREMONT ST
P_LOCATION
01
QC Status
Approved
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EHD - Public
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l Advanced CHAIN OF CUSTODY RECORD <br /> @? 2 ?`t <br /> -_- GeoEnvironmental> Inc. Date Page <br /> 4005 North Wilson Way•Stockton,Caiifomia-952DS-(209)467-1406-Fax(209)467.1118 <br /> Client4AW 5H� �Ia N e Project Mana rA fi Required <br /> * �M �g <br /> lavV <br /> Phone Number C-� <br /> - Z®-9 0 7 /00& <br /> Samplers: (Signature) � Irnoioe: <br /> -- r , <br /> RD <br /> Pro}ect Name / D S� p �u AGE l <br /> Client 0 <br /> Sample Typed ;r <br /> Sample Location Date Time VVarter Solid ND. Df �� No 14 <br /> Number Description comp. arae. Air Co S. <br /> ft 1,5818 <br /> .T31 —/0 0 #/ _� Z 003 -- --- r --- - <br /> ,0 Z <br /> i5z -/02 <br /> Pf <br /> VZ - j - `r . 15823 <br /> 3�- ZS' /l./8 Yj if M <br /> �e i7 T i nature ; ec a y: 0 c7 ?7 nse S A'hW .S- T. .7— <br /> ,�Ote/Timo/ <br /> f� <br /> Reli irshed by. (Signature) Rece ed by: ( i lure) Date +me <br /> Relinquished by: (Srgnature) Received by Mobile Laboratory for field analysis' (Si9ne1ure) Daleffime <br /> Dispatched by: (Signature) Date/Time Flecelvaid for Laboratory t Dalaffime <br /> Jul <br /> Method of Shipment, © 1 /� � Gb <br /> Special Instructions. I once of the above indicated work. <br /> f'/ Vd /s : 52 -is 20 — oyv o rs <br /> PrAw M. <br /> fawxr,FrnAnr ArwratT ! nnrn.r.+rnrc <br />
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