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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 2224 Loma Vista Dr <br /> Registered Geologists Sacramento, CA 95825 <br /> Petroleum& Mineral Appraisers (916) 972-7941 <br /> FAX (916) 972-1663 <br /> CHAIN OF CUSTODY RECORD <br /> Client ' 10 ?'V1 A 2�t-- 1 Phone l,ZC111 ! 72- <br /> Address Cc.7` a�,11Caa _ CC to. f'I1 ,r� f <br /> 12 , 5-'3r ;795 ��{_ _T zip `�52S Z- 7�3 Z Zr. <br /> --T <br /> ��lC r'C•,�r<! t, � � r7 ,T i, <br /> PROJECT ID ANALYSIS <br /> l <br /> SAMPLEED BYf (sign�ture) tan_ <br /> � l I <br /> ers Q REMARKS <br /> sameat 4 p' <br /> Date Time arab pCamp Sample ID <br /> Cyt; A , AI -4- 1 2 4 tr cM <br /> C�i% t RC1 2 <br /> c <br /> 1 . <br /> I <br /> Leif�I !of U ke4'l f CL--) <br /> 3S-1 'L <br /> +S f zC(ri't141 C`� <br /> rt71 r I , _SMMC :'7 1' , > E 2��' Yf <br /> 7 <br /> x/ <br /> 6s ' <br /> T10� + <br /> r ( ' <br /> (//�l <br /> �tlL `� 1 y <br /> fiefinq shed t) (sign t, a Date Tama Fi eived I nature) Date Time <br /> R ingi,ph d ib ( i nature)_ q Oats Time > ved by si nature) Date Time <br /> R in uis/hed y tsignature) date Time R �i ed by (signature) ate Time <br /> _� �1 / <br /> /Retinqutshed by(signs ore) Date Time Recsive by (signature) Date Time <br /> Relinquished by (signature) Date Time Received by (signature) Date Time <br /> Site Time Driving Time <br /> an Finish Total Hours Start Finish Total Hours <br /> Mileage '� Approved By <br /> 7_ <br /> RECEIVED w V , U- <br /> { ,y�r <br />
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