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FIELD DOCUMENTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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V
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VAN BUREN
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424
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3500 - Local Oversight Program
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PR0545786
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Last modified
6/1/2020 1:57:20 PM
Creation date
6/1/2020 1:50:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545786
PE
3526
FACILITY_ID
FA0004969
FACILITY_NAME
CHASE CHEVROLET
STREET_NUMBER
424
Direction
N
STREET_NAME
VAN BUREN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
424 N VAN BUREN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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M"cCami3beAnalytical Inc. CHAIN-OF–CUSTODY RECORD <br /> 110 Second Avenue <br /> - <br /> e Sonth,ND7 <br /> Pacheco,CA 94553-5560 <br /> (925)798-1620 <br /> Worlc0rde[: 0203256 <br /> client: <br /> Advanced Geo Environmental TEL: <br /> 837 Shaw Road FAX: <br /> Stockton, CA 95215 ProjeclNo: Chase/Van Bure <br /> PO: <br /> 14-Agar-02 <br /> sample IO OwntSam ND — Requested Tests ------"- <br /> i Matrix Collection date Bottle 8029 B/8015 - - <br /> __ _ <br /> OC203256-001 �— Influent Alr ]–M /02 11:09_OO AM�_�q-- – <br /> 0mnments: • <br /> [Relinquished <br /> quished by: ------I <br /> -------------_-_ .. _ Received by: <br /> h �:3Received by: <br /> Relinquished b ------ <br /> 9 S ___---- -----"- Received by: _ <br /> NOTICE: Solid samples are discarded after 60 days and Non-Solid samples are discarded after 30 days unless other " <br /> arrangements are made. Hazardous samples will be returned to client or disposed of at client expense. <br /> Bottle Type: L-Liter V-Voa S-Solt Jar O-Orbo T-Tedlar 8-Brass P-Plastic OT-Other <br />
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