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FIELD DOCUMENTS
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EHD Program Facility Records by Street Name
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2024
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3500 - Local Oversight Program
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PR0001053
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FIELD DOCUMENTS
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Last modified
5/17/2019 9:51:35 AM
Creation date
5/17/2019 9:32:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0001053
PE
3528
FACILITY_ID
FA0004084
FACILITY_NAME
CLARK WELL AND EQUIP CO
STREET_NUMBER
2024
Direction
E
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
2024 E CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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- -e_oto 9]-cal�-Nud-i =S.e- - -c-e-S. _l n c:_- - CHAIWOF CUSTODY RECORD <br /> EnYironmen1sProfessions/s <br /> Date �� Page of <br /> — 1803 West March Lana, Suite A• Stockton, Crdifornin - 9;201 (709)4JS6.02t;4 <br /> r <br /> ent „ �® -- Pro' t Man ger <br /> Tests Required <br /> Phone Nur r <br /> (2c)1) Co 6 zG,�--1 <br /> Sam rs: (Signature) Invoice: <br />)j�ct-Name1 GeoAucSit <br /> /0. Client ❑ <br /> rbmple Location S mple Type <br /> Date Tirne Water Solid No. of //, Nates <br />®rT}ber Description -- -- Air Conts. 1 <br /> Cum p. Grnh. � /� <br /> VV <br /> I I y: ne ocarv �n�tlurc} ��� �A� !� AatelTime <br /> x� 9,"as PrY1 <br /> ngwsh by: (Signature) Ilucoivod by: (Sign a}— n��� <br /> `/( ` 7�Dale/Time <br /> elknqutahed by; (Signature) Ilucoivad Iry Mobilo Labornlory for field •t lysis: (Si( Dale/Time <br /> ispatched by: (Sionalure) Dahellunc '110univw] Im Laboratory hy- - ---- — Date/Time <br /> lethod of Shipment: a I n rr�Vly Nnrn <br /> f� C <br /> ipaciel Instructions: /] I hereby nutho xo the nerlormance of the nbove indicated work <br />
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