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ARCHIVED REPORTS_XR0005958
Environmental Health - Public
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EHD Program Facility Records by Street Name
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NAVY
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2500
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3500 - Local Oversight Program
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PR0545604
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ARCHIVED REPORTS_XR0005958
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Entry Properties
Last modified
9/24/2020 1:53:21 AM
Creation date
4/17/2020 3:15:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005958
RECORD_ID
PR0545604
PE
3528
FACILITY_ID
FA0004000
FACILITY_NAME
MUNICIPAL UTILITIES
STREET_NUMBER
2500
STREET_NAME
NAVY
STREET_TYPE
DR
City
STOCKTON
Zip
95206
APN
16333003
CURRENT_STATUS
02
SITE_LOCATION
2500 NAVY DR
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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-IM 4M <br /> Advanced CHAIN OF CUSTODY RECORD <br /> -_� GeoEnvironmentai, Inc Date —I 7,rl,�- Page -L— of <br /> of No►7heni Callfonna <br /> 1803 West March Lane, Suite A Stockton California 95207-(209)956-0264 Fax(209)956-0700 416 9q X <br /> Client I , � %,,' , Project Manager <br /> ! L1 ` L it rc ,� G� Tests Required <br /> Phone Number <br /> 5 <br /> Samplers (Signature) f invoice <br /> Project Name AGE <br /> �,f Client <br /> Sample Location Solid Sample Type No of <br /> Number Description Date Time Water Air Conts Notes <br /> Comp Grab <br /> /7A, ✓ 555 <br /> 47 <br /> e-nqurs e y (5ignalu-e) Fie we y nature r <br /> yy � Date/Time <br /> ehn rshed y (S-gnature) ecorved by ignature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for held analysis (Signature) Date/Time <br /> Dispatched by (Signature) DalelTime Recewed for Laboratory by Date/Time <br /> ethod of Shipment Laboratory Name <br /> (24 Je t S� f�� �` JiL fir~ C`� a _ <br /> Special InstructionsVlInt I I hereby authorize the performance of the above indicated work <br /> 1 � I <br />
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