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ARCHIVED REPORTS_XR0010753
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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THORNTON
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14749
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2900 - Site Mitigation Program
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PR0507155
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ARCHIVED REPORTS_XR0010753
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Entry Properties
Last modified
5/8/2020 11:28:57 AM
Creation date
5/8/2020 10:13:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010753
RECORD_ID
PR0507155
PE
2950
FACILITY_ID
FA0007718
FACILITY_NAME
3 B'S TRUCK PLAZA
STREET_NUMBER
14749
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05515026
CURRENT_STATUS
02
SITE_LOCATION
14749 N THORNTON RD
P_DISTRICT
004
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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���+ � �■■� tttttttttta � � � � r � � <br /> l Advanced CHAIN CORD <br /> _ccGeoEnviron mental, Inc n5 0-qGO Date 1 - Page —L pt _ <br /> 837 Shaw Road- Stockton, California - 95215 - (209) 4671006 Fax (209) 4671118 <br /> Client - Project Manager <br /> � Tests Required <br /> Y <br /> Phone Number <br /> 7 — Yf — / ref; <br /> Samplers (Signature) i Invoice <br /> Project Name �� —' " i= �' / AGS <br /> ,�----- ,/ Cllen( <br /> Sample Location <br /> Sample ype <br /> Number Description Date Time Nf <br /> Water Sohl o oi / Notes <br /> hh Comp Grab Air Conts <br /> el+ is a S+ nature (Signature) �1 Y <br /> Y g ) eaerva yDatelTrme <br /> ftetrnquished by ( �gnaluref — � -./ (—tet -. j � <br /> Recerved by (Signature) / 7` Date(Ttrne <br /> Rehngj b p by ature) �.�PPLOPRUATB, <br /> t3ocerved b Mobile Laboratory for field analysis (Signature) � r <br /> Y Y Y ( g ) �� DatelT+rne <br /> GOOD CONDITION i <br /> D+spatgigfe I)��j rfE� LAB PRESERVED IN LAEIDate/Tsme Rete veil for Laboratory b may/ D e�Ttme <br /> VO 0&0 METALS <br /> Metho o �hipmen La oratory Name <br /> Spacial lnsiructrons _ <br /> t hereby authorize the perfo(mance of the above indicated work <br /> --�` <br />
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