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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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2900 - Site Mitigation Program
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PR0516724
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Last modified
2/25/2019 3:09:07 PM
Creation date
2/25/2019 1:14:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0516724
PE
2950
FACILITY_ID
FA0012756
FACILITY_NAME
ELKS LODGE PROPERTY
STREET_NUMBER
317
Direction
S
STREET_NAME
CENTER
City
STOCKTON
Zip
95202
APN
13731010
CURRENT_STATUS
01
SITE_LOCATION
317 S CENTER
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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WHF Yy-\ 19 1 I WHF INC. <br /> Post Office Box 427 <br /> CHOakdale,CA 95361 <br /> AIN OF CUSTODY RECORD - (209) 848-4280 <br /> Project Name: <br /> y D <br /> fL���� <br /> <�.. Number Q � �•' <br /> Samplers(signature), of � REMARKS <br /> Containers <br /> SLation CL <br /> NumberDate Time o Station Location <br /> U <br /> i_ <br /> o Q'ss <br /> 1 I i. ' , 1 m o <br /> m <br /> � 3 � � ��- tX cttf <br /> Relinquishedy� i✓ff Date / Time ve by,(signature): Relinquished by(signature): Date / Time Received by(signature): <br /> Company or Agency: t� Company or Agency: Company or Agency: Company or Agenc}': <br /> Relinquished by(signature): Date / Time Re ved by(signature): Relinquished by(signature): Date / Time Received by(signature): <br /> Company or Agency: Company or Agency: Company or Agency: Company or Agency: <br /> Relinquished by(signature): Date / Time Received by(signature): Date / Time Remarks/Shipping Information <br /> Company or Agency: Company or Agency: <br />
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