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SITE HISTORY
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0544513
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SITE HISTORY
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Last modified
5/31/2019 4:53:37 PM
Creation date
5/31/2019 4:41:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0544513
PE
3528
FACILITY_ID
FA0024115
FACILITY_NAME
WEST CLAY PROPERTY
STREET_NUMBER
639
Direction
W
STREET_NAME
CLAY
STREET_TYPE
ST
City
STOCKTON
Zip
95209
APN
14707110
CURRENT_STATUS
02
SITE_LOCATION
639 W CLAY ST
P_LOCATION
01
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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1-1 - 07S F- <br /> N <br /> CHAIN OF CUSTODY RECORD 51 <br /> Advrxnced l2- -0 3 <br /> Pa N <br /> a m <br /> GwEnvironmentai, Inc. _ Data W <br /> 837 Shaw Road- Stockton,California- MIS (269) 467-1006• Fax(209}467-111 B Vl <br /> ru .. <br /> Gent %I�a� Pf° � � �t J Teats Required <br /> Phone Number m CO <br /> w <br /> Samplers: (Si tee) o involce: A <br /> AGE <br /> Projea Name LLAJ <br /> Type <br /> Sarnpie Location Same Dade Time No. of � � NIBS <br /> Comp. G <br /> Number Description Weser kir Solid Corte. / m <br /> rab, <br /> 7 <br /> az �S I x <br /> M <br /> —03 3 k K X <br /> M <br /> is <br /> z <br /> D <br /> r x �� L <br /> -b� 1 D <br /> e a nstare c e y: pna- • DaDalrime <br /> jVaz- aa� <br /> Bali q4. y' (SkgnaNa fieceived by:4$iqnatw) D■f■FTiwa rV <br /> ru <br /> fialingWahedby:(gig Hato re) Recelvd by Wobila Laboaatoryfor field analyalr(Sbpmr■) TAT Dalarriee <br /> R3 <br /> Despatched by: (Signalura) D■ta�im• Reoelved ior L■bwaiory by: DaWrIme <br /> 41 <br /> Method ofShlpmaM; labor Hama G) <br /> L w m <br /> Spacial I hereby author par ormaeo■ of ih• above indlcatad woriu <br />
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