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Environmental Health - Public
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EHD Program Facility Records by Street Name
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ZUCKERMAN
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2900 - Site Mitigation Program
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PR0505863
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COMPLIANCE INFO
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Entry Properties
Last modified
9/11/2020 2:28:20 PM
Creation date
5/1/2020 10:39:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0505863
PE
2953
FACILITY_ID
FA0007058
FACILITY_NAME
MCDONALD ISLAND DUMP SITE
STREET_NUMBER
111
STREET_NAME
ZUCKERMAN
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
12908071
CURRENT_STATUS
01
SITE_LOCATION
111 ZUCKERMAN RD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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Geological Audit Services , inc CHAIN OF CUSTODY RECC <br /> E7�i�onmen/a/PIo%ssiona/s <br /> No .� <br /> _— 1000 West March Lana, Suite A. Stockton, Cnlifornla 05207 -(209)95G 0264 Date i- 10`1`1 Page of <br /> ClientFq ' Co r Project Manager ZH Z 6q <br /> �V � row, � <br /> hP. � Ba� j � 5 <br /> � 01''11M "A;� bb o� Tests Required <br /> 7 <br /> Phone Number <br /> 57acKle� , C/� (x.09) 95 Ii- O-Z <br /> —-- --- -- Samplers" (Signature) <br /> Project Name M c n f l / Invoil <br /> [)oil <br /> Q�C7 -�S�Q►1 c� ,�iv-,v� �il.c,h,t,� a� <br /> j <br /> GeoAudi <br /> Sample y Clie <br /> Sample Type ,Icy 15- <br /> Number Location Descriplion Date Time wa1Cr------- Solid No. of �� �� v <br /> Air Corals. Notes <br /> P — - x <br /> Is-so ---- — _ ,�` Y ,j�5982` P- i7hro�4� <br /> _ <br /> 16225- <br /> 16 �O x "►yofyy* 1: I <br /> E `#~ EX-M <br /> e n <br /> is a ipnoluro <br /> / ocorvc y: ( r n lure <br /> G t eK it: <br /> 5)oNc{ard A�- ;:;1?.' Oate/Tlme <br /> Q inquishod by: (Signe ure) r <br /> Ila oivad by: (SI nature <br /> Relinquished by: (Sipnaturo) DelerTlme <br /> ROcelVed by Mobilo Laboratory for field analysis: (Signature) <br /> Dispatched by: (Sipnaturo) Dale/TiDele/Tlme <br /> me 7��� <br /> h <br /> Y Y. <br /> Moth�1011ipment: Dale/Time <br /> VM Ub��MI}Uo OTIIEfi Laboratory Nome <br /> Special Instructions: <br /> 6000 CUNDMGN�.. PFRUI'FtIA1E1 hereby ar <br /> uthorize the performenae of the above Indicated wo <br />
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