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SITE HISTORY
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CLAY
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3500 - Local Oversight Program
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PR0544513
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SITE HISTORY
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Entry Properties
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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! Advanced CHAIN OF CUSTODY RECORD <br /> P � <br /> s,- OeQFBvironmental, Inc. Date' Page d �- nN <br /> cm <br /> 837 Shaw Road -Stockton, Cefrorr>la-95215-(209)467-1006-Fax(209)487-11 i8 1 m <br /> �W <br /> Client Project Manager $� <br /> w� ,,t ,✓ Tests Requred Ew <br /> Phone NUmber J4 � <br /> l� y� m <br /> Samplers:(Signature) Imioice: p <br /> Pfoie ct NameWe �' ° <br /> S1" t i4�' !�`1 � CAGE ern <br /> Sarrlpte Location pie Type ' O ry <br /> Na <br /> Number Description Date Torte Water !Ur Solid of�� NotesComp. @rob. <br /> 5�A- ! <br /> SP�-Z ]IS03 12-1-7 <br /> 1r1.0% l2z`1 k ti X x <br /> 5Vq -3 i2b�b3 iZ3 I }� � X � X <br /> itDIZ3 -7 x 1 K X K m <br /> SP2- 1Cn <br /> 12M3 e33 x X X o <br /> S Z-z abw> 13go 0 <br /> k � x K X x <br /> { 1200 ) 3qj <br /> Dy>t rnrn*1 <br /> 1•+.f �evuisneaoq: iSignUrre) <br /> Reserved by: iSiyAatwe) �h(� T� �o tore N <br /> Resiq t�shad by_(S�pnatu3e) r � <br /> Received by Mobile Laboratory for field analysis 13Wwursj nstertffne <br /> N <br /> Qi rpetched � <br /> by: �4i9aslute� OatejTims ceived or La *Wory by: DoielTime <br /> `` co <br /> 4Q-Molhod 0 Wpm t y . s <br /> Laboratory ifama <br /> Special JnrUuetlwrs: � '`' � D <br /> m � <br /> ereby aullrorize the perlormanoe of The above indicated walk. N M <br /> A <br /> 1��2 --1 f�►��-�,�I sP� <br />
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