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ARCHIVED REPORTS_XR0005014
Environmental Health - Public
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EHD Program Facility Records by Street Name
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M
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MONTE DIABLO
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1766
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2900 - Site Mitigation Program
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PR0535112
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ARCHIVED REPORTS_XR0005014
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Entry Properties
Last modified
9/16/2020 1:25:32 AM
Creation date
3/17/2020 2:55:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005014
RECORD_ID
PR0535112
PE
2957
FACILITY_ID
FA0020296
FACILITY_NAME
CHAPIN BROTHERS INC
STREET_NUMBER
1766
STREET_NAME
MONTE DIABLO
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
APN
13505050
CURRENT_STATUS
01
SITE_LOCATION
1766 MONTE DIABLO AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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Advanced CHAIN OF CUSTOD ECORD <br /> � b a ` <br /> GeoEnvironmental, Inc Date 5 { S Page Z of�- <br /> 837 Shaw Road- Stockton, California-95215 - (209)467-1006- Fax (209)467-1118 <br /> Client ,ISS --rProlectlanager Tests Required <br /> Phone Number�� <br /> Samplers (Signature) Invoice <br /> AGE <br /> Project Name j 1�� 1 Client ❑ <br /> M b-k <br /> Sample Type <br /> Sample Locat n Date Time Water Solid No o Notes <br /> Number Description Comp Grab Air Con <br /> ekynqui e_y ( 4�w eceive y ignature QaielTime <br /> Relinquished by (Signature) Received by (Signature) /�d � Date/Tima <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) 111 ���"'vvvv DatelTrme <br /> Dispatched by (Signature) Qateffime Receive or abora by tv <br /> ime <br /> �lMY-0 <br /> Method of Shipment Labo tory�amF a <br /> '� (/11 <br /> I hereby authorize the performance of the above indicated work <br /> Special Instructions <br />
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