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ARCHIVED REPORTS_XR0008370
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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4648
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3500 - Local Oversight Program
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PR0545864
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ARCHIVED REPORTS_XR0008370
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Entry Properties
Last modified
7/21/2020 9:58:33 AM
Creation date
7/21/2020 9:41:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008370
RECORD_ID
PR0545864
PE
3528
FACILITY_ID
FA0004530
FACILITY_NAME
MARLOWE PROPERTY
STREET_NUMBER
4648
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
CURRENT_STATUS
02
SITE_LOCATION
4648 WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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76 <br /> CHAIN OF CUSTODY tttCORD' <br /> ueological Audit Services , Inc . owe t- y-g Lpage <br /> _ =�� EnYrmnmenta Professir�nafs of <br /> tiit�r 1803 West March Lane Suite A-Stockton California-95207-(209)956 0264 <br /> r <br /> Client Mar lewa Pro t r},R 5 TC nn 1 fir, 1`11 r Project Manager <br /> q t " ti Rob M g r)Y Tests Required <br /> Phone Number <br /> Samplers (Signature) �� / Invoice <br /> Project Name Mar 1a wt Py cp -e r Ti-e 5 h GeoAudlt <br /> �r`'�'`"" `?�`" � � Client <br /> o- <br /> Sample Location Sample Type No of <br /> Date Time Water Solid o Notes <br /> Number Description Comp Grab Alr Conts 1A, b, <br /> i <br /> MW-3/1-1-1 qq X <br /> 3bx i 3 <br /> e i q ishcd by (Si nature) ' ec ve b ignature) Dalefrime <br /> dorJ T 1 <br /> Reli i hed b (Signature) Receiv (Sig natur Datefrime <br /> LRAZ <br /> Relinquished by (Signature) Receive y Mobile La oratory for field analysis (Signature) Dater ime <br /> Dispatched by (Signature) DatelTime Receoved for Laboratory by Date/Time <br /> Method of Shipment Laborat ry Name <br /> Special Instructions I hereb thou a the erformance of the above indicated work <br />
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