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ARCHIVED REPORTS_XR0008297
Environmental Health - Public
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EHD Program Facility Records by Street Name
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S
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SCHOOL
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107
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3500 - Local Oversight Program
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PR0545674
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ARCHIVED REPORTS_XR0008297
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Entry Properties
Last modified
5/20/2020 10:19:52 AM
Creation date
5/20/2020 9:58:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008297
RECORD_ID
PR0545674
PE
3528
FACILITY_ID
FA0006039
FACILITY_NAME
MARK NEWFIELD
STREET_NUMBER
107
Direction
N
STREET_NAME
SCHOOL
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
02
SITE_LOCATION
107 N SCHOOL ST
P_DISTRICT
004
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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� � � I• � � � I, � � � � tom.. tltlt»ll,�. <br /> DYCORD <br /> E <br /> � <br /> CHAIN OF GUSTO <br /> Advanced <br /> - =- GeoEnvironmental, Inc. Date Z Page <br /> 837 Shaw Road Stockton, California- 95215-(209)467-1006 - Fax (209)467-1118 <br /> Client Protect M nag r <br /> Tests Required <br /> lon;)Number <br /> a0 <br /> Sa rs (Signature) invoice <br /> Project Name r AGEs_L;� <br /> Client [- <br /> Sample Type � <br /> Sample Location Date Time Water Solid No of Notes <br /> Number Description cpmp arab Air Conts <br /> ►'1'1tU -- i 5 2- <br /> 416 2– <br /> 3 <br /> 2- •'�b 2 <br /> ^O-z- d U' <br /> "3 <br /> Re nqu 51fed y netur ) ecerve y (signature) ate/Time <br /> q—%atefrlme <br /> Relrnqui h— y ignature) Received by (Signature) <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) OatelTame Received for Lab story y d Date/Time <br /> Method of Shipment Laborat fya <br /> vt <br /> A P <br /> Special Instructs ns I hereby au a the performance of the above indicated work <br /> ke.,&nt� leeL <br />
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