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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EIGHT MILE
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15135
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3500 - Local Oversight Program
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PR0544644
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Last modified
7/10/2019 11:53:58 PM
Creation date
7/10/2019 4:42:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0544644
PE
3529
FACILITY_ID
FA0005287
FACILITY_NAME
H & H MARINA
STREET_NUMBER
15135
Direction
W
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
STOCKTON
Zip
95219
APN
06908021
CURRENT_STATUS
02
SITE_LOCATION
15135 W EIGHT MILE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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CHAIN-OF-CUSTODY Condor Earth Technologies, Inc. <br /> ❑ 21663 Brian Lane Y,125 N.Golden State Blvd.,Ste.H Q Agro Environmental C] 1100 C Airport Blvd. <br /> No O C,J ry P.O.Box 3905 P.O.Box 3448 5651 N.Pershing Ave.,C-3 P.O.Box 30035 <br /> 7 L Sonora.California 95370 Turlock,California 95381 Stockton,California 95207 Pensacola,Florida 32503 <br /> (209)532-0361 (209)668-9234 (209)474-1492 (904)477-0454 <br /> Fax(209)532-0773 Fax(209)668-9248 Fax(209)478-1716 Fax(904)477-0534 <br /> SHIPPED TO: SEND RESULTS TO: � � ` 1�9c1� <br /> OFFICE: <br /> A,1,9e d,n 7_1' , Cv4 BILLING INSTRUCTIONS: l n r <br /> ❑ PLEASE FAX RESULTS: LABORATORY REPORT NUMBER: - n <br /> PROJECT NO. ep <br /> ` <br /> NO. <br /> Pkv Qgty <br /> SAMPLED BY: con- <br /> (Signature) tain- Q1 �q`Z jG <br /> Date Time mple ID ers O q+ N/ REMARKS: MISC. <br /> 6/z.i be 09S s- /f`�z- P<-- '7 '•a.2I15 1 <br /> 4- A <br /> '- //no /�3Z- Ca• 2 -// k S< Via\ `�. <br /> >• I//n �f3?— rz-S Z t`'6 <br /> -/0 ! x X x <br /> 112t1S <br /> i 2�v /y U�y- S— l n )C 412 <br /> >i Z�'v tF3Z- �ii'>f -f3 29 46 3 K K K ra-TSG 33L� Io <br /> -G yiS i93Z_ �P�;-8 g K K G✓ i rI 33jlloLt <br /> n V IL- �a rwe S <br /> 4 <br /> Relinquished By Date: Time: Received By: Date: Time: <br /> (Signature) ✓.2 /7e$t (Signature) <br /> Relinquished By: U Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By/ Date: Time: Received By: - `- - ate: Time: <br /> (Signature) (Signature) �1— <br /> Original-Send SA ,,., /,'r [ate -S p FF / iJ Yellow-File , Pink-Log Book GAROLI GRAP11165(MI W7-nr FORM J692 <br />
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