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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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2900 - Site Mitigation Program
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PR0503633
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
5/4/2021 1:19:03 PM
Creation date
5/4/2021 1:08:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0503633
PE
2950
FACILITY_ID
FA0005913
FACILITY_NAME
WATERLOO SHELL
STREET_NUMBER
4315
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710034
CURRENT_STATUS
02
SITE_LOCATION
4315 WATERLOO RD
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
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EUREM 12.3OR1TORIES1 INC. <br />3401 La Grande Boulevard <br />SACRAMENTO, CA 95823 <br />TEL: (916) 428-1193 <br />CHAIN OF CUSTODY RECORD <br />CLIENT: ./-1617 (")?, CONTACT : TELEPHONE: <br />froisci Cods <br />_ <br />/rood Nsi_n_o <br />/.._ A lysi s Required <br />SAMPL E RS ISlin,N1.1 <br />I <br />r <br />[ REMARKS <br />0 <br />Sample ID. Location <br />, <br />\J , <br />0 <br />I <br />— / 777 d—ap/ z sz- 7i- <br />._ )11,31/k iki..i.c • <br />Rohnquithed by. IS.Iniloil <br />/ 2. <br />/ <br />Oats/Tim, <br />f S6., <br />_25 <br />ISII6110 Rim,' WV <br />e_ / f---, <br />Rolinquithed by: iSiinstur I Ostirrrn <br />I <br />ii .inatil Rocirvid by IS o <br />Relingulihid by. IS.pnitoll Dili urns Recoreid by. IS.Inituril Rolinqvithid by: IS,Initoll Ostinime Ricerml by: ISinituoll <br />R,Iinguithed by: ISlinituit) DitifTimi Flicentd 101 Labor/tory by: <br />(S.Ineiwo) <br />Oitinime Rimirbi <br />- <br />N 1000
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