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ARCHIVED REPORTS_XR0004132- CASE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0506426
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ARCHIVED REPORTS_XR0004132- CASE 2
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Entry Properties
Last modified
7/27/2020 11:34:35 AM
Creation date
7/27/2020 9:37:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0004132- CASE 2
RECORD_ID
PR0506426
PE
2950
FACILITY_ID
FA0007416
FACILITY_NAME
STEPHENS MARINE INC
STREET_NUMBER
345
Direction
N
STREET_NAME
YOSEMITE
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13526011
CURRENT_STATUS
01
SITE_LOCATION
345 N YOSEMITE ST
P_LOCATION
01
QC Status
Approved
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LSauers
Tags
EHD - Public
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CHAIN OF CUSTODOECORC <br /> Advanced <br /> GeoEnvironmental, Inc Dace `� P <br /> 8.37 Shaw Roan Stockte- C;its a -)5215 12081 467 1SC5 =e' ,2C9j 4617 1118 <br /> _ -- - - - -- --- - Prot Manager =:=equiredl <br /> Client <br /> shone Number <br /> Samplers (Sig ur % ' / / invoice <br /> AGE )Z2 <br /> I-'roiect Name 1, .�' t /� �- �' Client <br /> Sample Type <br /> Sample -ocaht�o - - J-- mm- No of Notes <br /> �' Date 'ime Water Solid ✓,, <br /> plumber Description} ' Ga no crab Air � Goias - T <br /> ' r <br /> ehnq s e y { Sn ure --- ®terve y $nature - oat JTime <br /> lRelinqurshed { Ig bre; Received by (Sig--t-r-11 <br /> !]atelT+me <br /> Reiinquished by {Signature j Received by Mtobiie Laboratory For held an•lyafa (ftnature) OatefTima <br /> D+;patched by (Signature) t)ate[Time lReceivitid for laboratory by Oate[Time <br /> _ _ --- --'. _ � _____ _.____—� Lab • a e� <br /> Method of Sh,pmen r ] <br /> _ I by tuthori the er o arnee of the above Indicated work <br />
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