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ARCHIVED REPORTS_XR0007549
Environmental Health - Public
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EHD Program Facility Records by Street Name
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T
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TURNER
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2420
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3500 - Local Oversight Program
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PR0545769
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ARCHIVED REPORTS_XR0007549
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Entry Properties
Last modified
10/8/2020 10:32:12 PM
Creation date
6/9/2020 11:49:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0007549
RECORD_ID
PR0545769
PE
3528
FACILITY_ID
FA0004139
FACILITY_NAME
Plaza liquor and Gas
STREET_NUMBER
2420
Direction
W
STREET_NAME
TURNER
STREET_TYPE
RD
City
LODI
Zip
95242
CURRENT_STATUS
02
SITE_LOCATION
2420 W TURNER RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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LSauers
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EHD - Public
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Advanced <br /> CHAIN OF CUSTODfRECORD <br /> ( � <br /> GeoEnyironmental, Inc, Date L b Page <br /> 837 Shaw Road - Stockton, California-95215 - (209) 467-1006 - Fax(209)467-1118 <br /> J <br /> ClientProtect Manager <br /> Tests Required <br /> Phone Number <br /> © Samplers (Signature) Invoice <br /> 1> AGE <br /> Protect Name <br /> P",� L� �� �- �1 Client C3Sample - Location Sample Type No of <br /> Number Description Date Time Water Air Solid Conts Notes <br /> Comp Grab <br /> r 9*01- z 7 <br /> use )51 9-?Z X ?� <br /> �r>f� <br /> Z5 ' <br /> /Vq t <br /> M1u! [0 3a a z !l��� I <br /> 2�� 9 dZ Zoo X I x X <br /> e Enquis e y igture} ecerve y (Signature) ate/Tie <br /> D IP?- 04) <br /> Relinquished by (Signature) Received by (Signature) Date ime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Received for Laborat by Date/Ti <br /> 1 . J t2— a_ 0'J <br /> Method of Shipment a oratory Name A <br /> /X �e k <br /> Special Instructions V I hereby authorize the performance of the above indicated work <br />
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