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ARCHIVED REPORTS_XR0008089
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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4405
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2900 - Site Mitigation Program
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PR0542364
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ARCHIVED REPORTS_XR0008089
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Entry Properties
Last modified
5/4/2020 4:00:17 PM
Creation date
5/4/2020 3:25:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008089
RECORD_ID
PR0542364
PE
2960
FACILITY_ID
FA0024340
FACILITY_NAME
PACIFIC CAR WASH
STREET_NUMBER
4405
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11024014
CURRENT_STATUS
01
SITE_LOCATION
4405 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
Scanner
LSauers
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EHD - Public
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Advanced CHAIN F CUSTOAECORD <br /> � Z---- GeoEnvironmental Inc. Date Page <br /> 837 Shaw Road -Stockton, California 95215 (209)467-1006 Fax (209) 467-1118 <br /> Project Mana er J L (p <br /> Client � Tests Required <br /> e&r-- I <br /> Phone Number <br /> -7 <br /> ers gnature) Invoice <br /> � AGE <br /> Project Name e x Client L] <br /> ; <br /> Sample Type ' Q <br /> Sample Location Solid No of Notes <br /> Number Description Date Time Water Air Conts <br /> Comp Grab <br /> f0 <br /> IckV lu*04 ° <br /> ig PL) 10 ayo <br /> zma <br /> q <br /> MW 2-0 9ea <br /> Wq.,rh',4 <br /> reAl <br /> n tore} eeerve y gnatureatalT,ma <br /> (Signature} Received by (Signature) atelT+me <br /> Relinquished by (Signature) Received by Moble Laboratory for field analysis (Signature) DatelTime <br /> Dispatched by (Signature) DatelTime Receivsd for Laboratory by Datelri e <br /> 1�- ,a d <br /> Laborat Na <br /> Method of Shipment <br /> —Oak I hereby auth axe the rformance of the above Indicated work <br /> 5peciallnstruct+ons <br />
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