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ARCHIVED REPORTS_XR0003792
Environmental Health - Public
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EHD Program Facility Records by Street Name
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L
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LOOMIS
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2969
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3500 - Local Oversight Program
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PR0545428
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ARCHIVED REPORTS_XR0003792
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Entry Properties
Last modified
3/9/2020 3:13:19 PM
Creation date
3/9/2020 10:05:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003792
RECORD_ID
PR0545428
PE
3528
FACILITY_ID
FA0005487
FACILITY_NAME
MARCIS DIESEL SERVICE
STREET_NUMBER
2969
STREET_NAME
LOOMIS
STREET_TYPE
RD
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
2969 LOOMIS RD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\sballwahn
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EHD - Public
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Wm. J. Hunter & Associates a << !�` <br /> 2220 Loma Vista Dr, <br /> Registered Geologists Sacramento, CA 95825 <br /> Petroleum & Mineral Appraisers (916) 972-7941 <br /> FAX (916) 972-1683 <br /> CHAIN OF CUSTODY RECORD <br /> Client <br /> Phone (ZCaf <br /> 63/6 <br /> Address <br /> P- <br /> Zip h�Z� —y/?i 7 7:�C, 1 <br /> PROJECT ID ANALYSIS <br /> PA- c, i)t P I:r7(- :? Oki of <br /> SAMPLED BYt (sign�ture) con-ers <br /> REMARKS <br /> sample 1 J` <br /> Date Timet Sample ID <br /> 6reC Comp, f �� <br /> S r. /} <br /> 40' <br /> c, <br /> tf�F? <br /> 41fG3F <br /> Y 5 7 r 7, i 12'i P ; f yr t<1J� <br /> r -- <br /> � c^r 7 h �, ) <br /> /105 <br /> o <br /> Rel)nq fished b' .(sign t a- Date Time R e€ved }( i nature): Date Time <br /> RinquJph d L ( € nature): Qate Time R ved by si nature): Date Time <br /> R. in uished y(signature): Date Time R c , ed b s, nature <br /> �a4 J y( i9 ) ata Time <br /> ;-Relinquished by(signg ure): Date Time Receive by(signature): Data Time <br /> Relinquished by (signature): Date Time Received by(signature): Date Time <br /> Site Time; Driving Time: <br /> Mart: Finish: Total Hours: Start: Finish: Total Hours: <br /> Mileage - Approved By <br /> RECEIVED v v ' I; <br />
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