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ARCHIVED REPORTS_XR0012267
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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WILSON
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101
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2900 - Site Mitigation Program
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PR0541653
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ARCHIVED REPORTS_XR0012267
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Entry Properties
Last modified
7/10/2020 12:33:38 AM
Creation date
7/9/2020 9:02:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012267
RECORD_ID
PR0541653
PE
2965
FACILITY_ID
FA0023871
FACILITY_NAME
TOP FILLING STATION
STREET_NUMBER
101
Direction
S
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
15125307
CURRENT_STATUS
01
SITE_LOCATION
101 S WILSON WAY
P_LOCATION
01
QC Status
Approved
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LSauers
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EHD - Public
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CHAIN OF CUSTODY RECORD <br /> �-�- Geological Audit Services Inc . <br /> Enw�menla Pro/essiona/s ' Date~l -29-g Page -.— of <br /> now 1803 West March Lane. Suite A Stockton Cahtornra 95207 (209)956 0264 <br /> I � <br />:sent DQE VMernn T P '0q tl Project Manager <br /> --sh'd-&-1 14 j , Tests Required <br /> Number <br />� za4 95�•D•��� <br /> Sam rs (Signature) Invoice <br /> I nect Name 15P jy, 1 1I k;q S pit GeoAudlt)Ry <br /> Client ❑ <br /> Sample Location Sample Type <br /> Na of <br /> Date Time Water Solid Notes <br /> Number Description <br /> camp crab Air Cents l�`� <br /> boroq orifi 3U' t2.Z Ig4 b; r0 --- - x l X 9yw-04 9G / <br /> - d5 ! on& 1 42.29.9JI lo:2-1' x <br /> -- - - -- - — — — 0 0 96.? <br /> _ �- luao .3fl �z•z8•�� �z ro X � � <br /> 00263 <br /> 009�� i <br /> c x <br /> 00 9&6 <br /> -14 bo-� Sur 'ID ►z zf•q� 9:17 X <br /> Fi . 0O 96 7 <br /> •rnqur a rgnalu a ecewrgnuturo 'n ^ � 771-rDelelirme <br /> n r ad by 5rgnalure Received by (Sig nu1 o) 4 4G atemme , <br /> alrnquished by (Signature) Rocorvod by Mobilo Laboratory for field analysis (Signature) �o6� p p0e3a/ <br /> patelTtme <br /> Du atchad b t — <br /> p y (Signature) UaluJi ane Ilgtowo d for Luburulury cry Date/Time <br /> i �D7 <br /> 1Narh000lSArpmant o2 IQ <br /> Laboratory mo Of <br /> Special Instructions <br /> I honrby nulh rise the poalarrnanco 01 the above indicated work <br /> 10000001 1 MONSOON Itttttttttis tt_ fi, fly fr• f� f• f� f� 1� <br />
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