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ARCHIVED REPORTS XR0012572
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MADISON
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423
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3500 - Local Oversight Program
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PR0544427
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ARCHIVED REPORTS XR0012572
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Entry Properties
Last modified
5/7/2019 9:22:25 AM
Creation date
5/7/2019 8:33:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012572
RECORD_ID
PR0544427
PE
3528
FACILITY_ID
FA0004581
FACILITY_NAME
CHASE CHEVROLET*
STREET_NUMBER
423
Direction
N
STREET_NAME
MADISON
STREET_TYPE
ST
City
STOCKTON
Zip
95203
CURRENT_STATUS
02
SITE_LOCATION
423 N MADISON ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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r l'QY: <br /> WATE RWO.R K <br /> CHAIN-OF—CUSTODY REC. .D AND ANALYSIS REQUEST <br /> ANALYSIS TYPE REaUESTED <br /> PROJ.NO. PROJECT NAME <br /> /S tc <br /> SAMPLERS:(Signature) _ <br /> a <br /> y D REMARKS <br /> I.D.NO. DATE TIME o STATION 8 LOCATION N <br /> U 0 <br /> r N <br /> M tc3 7 <br /> PLEASERETURrHEST5 <br /> AND BLUE! TERWORUK <br /> WWIDR. E <br /> ILL <br /> Relinquished by <br /> Date Time Received by: <br /> Relinquishby: Dal <br /> Time Rec v d by: <br /> ed r( ' <br /> Relinquished by: <br /> Date Time Recelved Ly: <br /> to Time Recelved by: <br /> Rail ui had by: <br /> �1 <br /> Date <br /> TlEne REMARKS(ghlpping Related): <br /> ellnqulshed by: <br /> Date Time R elved by Labor ory. <br />
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