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EHD Program Facility Records by Street Name
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C
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1230
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3500 - Local Oversight Program
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PR0544197
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Entry Properties
Last modified
2/27/2019 4:02:11 PM
Creation date
2/27/2019 2:20:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
WORK PLANS
RECORD_ID
PR0544197
PE
3528
FACILITY_ID
FA0005430
FACILITY_NAME
LODI ACADEMY
STREET_NUMBER
1230
Direction
S
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04728001
CURRENT_STATUS
02
SITE_LOCATION
1230 S CENTRAL AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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MATRIX �C MATRIX ENVIRONMENTAL LABORATORIES (916) 635-3962 FAX: (916) 635-9331 C.O.C.-LOGIN <br /> CHAIN OF CUSTODY No. ANALYSIS <br /> PROJECT I.D. �„ 2 <br /> LOo\ _"' <br /> N nc CUSTCOY!# a Q O\ <br /> PAG CLIENT CHS, . Z- �Q 02 <br /> Ct O O Q. <br /> O O a� po ^o O y ` <br /> OF ti ry v D <br /> LAB I.D.# SAMPLE I.D. DATE TIME MATRIX U �ryo� o; �O yy� ``P 0 USO <br /> SAMPLED SAMPLED <br /> COMMENTS: <br /> yy ,p 7/ 4 zy5 <br /> -)p 7 <br /> t <br /> 7� ca - /a <br /> _ y4-?o7y Z- <br /> /,3 5 ( X k <br /> y 'a7f- <br /> ZJ 2 - z!rJR[1 :�5 <br /> y ?ow C Z . <br /> u x <br /> ; s <br /> o <br /> F <br /> F <br /> N. iv <br /> Datefrme Received by:(signature) - Special Instructions <br /> Relinquished by:csignct--) - <br /> _ - Report To: v,c <br /> Date/Time Received by:(signature) v j Y ' <br /> Relinquished by:(sigmmre) Bill TO: C t- c, 5�2 <br /> Relinquished by:(signature) <br /> .Date/rme Receivedfor Laborafoo <br /> 1, y — h <br />
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