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ARCHIVED REPORTS_XR0005863
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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FRONTAGE
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935
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3500 - Local Oversight Program
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PR0545617
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ARCHIVED REPORTS_XR0005863
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Entry Properties
Last modified
4/28/2020 2:09:49 PM
Creation date
4/28/2020 1:36:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0005863
RECORD_ID
PR0545617
PE
3528
FACILITY_ID
FA0005557
FACILITY_NAME
RIPON FARM SERVICE
STREET_NUMBER
935
STREET_NAME
FRONTAGE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
26102007/2011
CURRENT_STATUS
02
SITE_LOCATION
935 FRONTAGE RD
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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l� '*Advanced <br /> CHAIN OF USTODY4&CORD <br /> GeoEnvironmental, Inc, 1 ©ate Page ofd <br /> 4005 North Wilson Way Stockton,California 95205-(209)467-1006 Fax(209)467 1118 <br /> Client +'rale M ger 1 ' Tests Required <br /> Vt niLt. P !.ne Nu liber <br /> _ Sam r C Invoice <br /> Project Name AGED,- <br /> , � � �C� Client <br /> Sample Type .� <br /> Sample Location Date Time Water Solid No of Notes <br /> Number Description Comp crab Air Conts <br /> 60948 <br /> 60949 <br /> e inqui y ( gn re ecenre y ignature atefTims <br /> e J/I <br /> Relinquished by—Ngnaturef Received by (Signature) I I Dalefrims <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> /447 <br /> Dispatched by (Signature) Date/Time Received for Laboratory byK_— Daternme <br /> i! <br /> Method of Shipment IC fd' <br /> PRESERVATION UNbrat° y <br /> me 4 <br /> CAL0,i ern, tomp roNnillow RPROPRIATE µ <br /> Special instructions MEAD SPACE ASSENT CONTAINERS i hereby t,tn rile lh Forman of the above indicated work <br />
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