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Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545899
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Last modified
7/23/2020 1:45:43 PM
Creation date
7/23/2020 1:42:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545899
PE
3528
FACILITY_ID
FA0005090
FACILITY_NAME
HARRISON AUTO ELECTRIC INC
STREET_NUMBER
3245
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11904324
CURRENT_STATUS
02
SITE_LOCATION
3245 N WILSON WAY
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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CHAIN OF CUSTODY <br /> _ Geological Audit Services , Inc. RECORC <br /> Ern'i�nmenta Prol�ss,+;nra�s Dated I )1 Page <br /> 1803 West March Lane, Suit*A-Stockton, California-95207-(209)pSg_p2gs 3 <br /> of <br /> r <br /> Client 1r DUp Project Manager �6 <br /> V1 �vlov,� S l�(}Yi S ' ' <br /> � '1 11'1orri - Dov e�.i c Tests Required <br /> Lts, i I S a n (,Jr, Phbne'�Number <br /> St-0 C Ll <br /> Samplers: (Signature) <br /> Project Name <br /> 6�C ��" Invoice: <br /> -� <br /> DO N s U U-G-i`r- (" Not" �c���, XYLtivv' - ��-t°ti� 4 ceonuda � <br /> / <br /> Sample Location Sample Type k b� Client r-] <br /> Number Description Date Time Water Solid No.of �,�4� _ <br /> Comp. Grab. Air Coats. i j'� �l Notes <br /> N'r -3 ,Vo Inc>r - �1 �e 3-I�-��v 10:1; k t <br /> 34779 <br /> -ee.r : Y 34780 <br /> f 14781 <br /> 3`1 (=e f 15cv ( Y r <br /> 34782 <br /> Ew - I (P Eas i- Uct t <br /> 2 : y���� I 34 783 <br /> � fi 1 r <br /> 34784 <br /> e-enquis e r <br /> Y: ipnature f <br /> t ecen1,e y: Ignatwe <br /> 1 <br /> WL'�VLi E'l l.`P 1L, E219'-1eJ <br /> e <br /> Relinquished by: (Signature) <br /> Y-q IO V <br /> Received by: (Signature) 'TA I e <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis:(Signature) (` � (�W.61 cQmP�� <br /> Date/Time <br /> Dispatched by: (Signature) Date/Time Received for Laborato <br /> ry by: <br /> Oate/Time <br /> Method of Shipment: <br /> Lab//orratory <br /> ..Name <br /> Special Instructions - G + I'tC CU ( 11/,f,. �`� <br /> G �� � a I Thereby authorize the prrrformance of the above Indicated work. <br /> .. n -�- <br /> Hon-WACI:ABSENT CONTAIPI!RME ���-� Y)b--LV <br />
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