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SITE HISTORY
Environmental Health - Public
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EHD Program Facility Records by Street Name
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S
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SANTA FE
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23569
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2900 - Site Mitigation Program
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PR0541936
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SITE HISTORY
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Entry Properties
Last modified
5/18/2020 11:04:58 AM
Creation date
5/18/2020 10:49:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE HISTORY
RECORD_ID
PR0541936
PE
2957
FACILITY_ID
FA0006149
FACILITY_NAME
RANCH MARKET
STREET_NUMBER
23569
Direction
S
STREET_NAME
SANTA FE
STREET_TYPE
RD
City
RIVERBANK
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
23569 S SANTA FE RD
QC Status
Approved
Scanner
LSauers
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EHD - Public
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GeoAnalyticalLaboratories, Inc. <br /> 1031 Kansas Ave. Phone (209) 572-0900 r <br /> Modesto, California 95351 <br /> "CrVIt U <br /> CHAIN OF CUSTODY AUG 1 4 1991 <br /> ENVIRONMENTAL 1 HEALTH <br /> ��- ^ _ PERMIT/SERVICES <br /> Client Phone <br /> Address CC to: <br /> Zip <br /> PROJECT ID ANALYSIS <br /> No. <br /> 1051 lYc of <br /> con• <br /> S : (signature) tam- <br /> ers REMARKS <br /> I typee Sample ID Q <br /> Date Time P' <br /> is l.T� E.0 to 1 <br /> > >c 0 <br /> 2'.ao X 1 Y d r x <br /> p I 1 O <br /> R linqu h (signature): a Time Received by(signal pat Time <br /> 5/.2 151 5:os <br /> quishe by (signature): Date Time Received by (signature): Date Time <br /> Relinquished by (signature): Date Time Received by(signature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br /> Relinquished by (signature): Date Time Received by(signature): Date Time <br /> Site Time: Driving Time: <br /> Start: � Finish: Z,t, Total Hours: Start: (�, Fini - Total Hours: <br /> Mileage 14 Approved By <br /> QANP <br /> GarWI Graphk (L) 7-3W7 <br />
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