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ARCHIVED REPORTS XR0001656
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0522479
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ARCHIVED REPORTS XR0001656
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Entry Properties
Last modified
5/17/2019 2:57:20 PM
Creation date
5/17/2019 2:17:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0001656
RECORD_ID
PR0522479
PE
2957
FACILITY_ID
FA0015299
FACILITY_NAME
GEWEKE LAND DEVELOPMENT & MARKETING
STREET_NUMBER
16
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04323013
CURRENT_STATUS
01
SITE_LOCATION
16 S CHEROKEE LN
P_DISTRICT
004
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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S,U� Tech <br /> r . <br /> Z�MV'0/7/77e/7lal /mac. <br /> P.O. Box 4977 • Modesto, CA • 95352-4677.. (209) 576-7182 <br />' . CHAIN OF CUSTODY <br /> r <br />' <br /> Client _ Phone ' <br /> i <br /> Address CC to: <br /> Zip <br />' PROJECT ID VILYX11111 j <br /> Vt� Nf <br /> l! of <br /> A LED BY: (si ature) r lain- <br /> ars <br />' REMARKS <br /> sae <br /> t Pe Sample Location <br />' Date Time are Comp. <br />�l <br /> 1 <br />' el' quished by (si nature)' Dale Time Re ived by (sin tura): Date Time <br />' elinquished Sy(signature): Date Time Received by (si ature): Date Time <br /> Relinquished by(signature): Date Time Received by(signature): Date Time <br />' Relinquished by (signature): Date Time Received by(signature): Date Time <br />' Relinquished by (signature): Dale Time Received by(signature): Date Time <br /> Site Time: Driving Time: <br /> Start: Finish: Total Hours: Start: Finish: Total Hours: <br />
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