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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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Condor Earth Technologies, Inc. <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane 125 N.Golden State Blvd.,Ste.H ❑ Agro Environmental ❑ 1100 C Airport Blvd. <br /> WC <br /> fl P.O.Box 3905 P.O.Box 3448 5651 N.Pershing Ave.,C-3 P.O.Box 30035 <br /> 7 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 /> Pax(209)532-0773 Fn(209)668-9248 Fax(209)478.1716 Fax(%4)477-0534 <br /> SHIPPED TO: SEND RESULTS TO: <br /> C-ooe, 2 Zd-:Srl-9[s CG S NAME: C I 6-JA CA-, <br /> OFFICE: TQGocX <br /> C4 Ayy BILLING INSTRUCTIONS: e?'� <br /> ❑ PLEASE FAX RESULTS: LABORATORY REPORT NUMBER: <br /> PROJECT NO. <br /> NO. 5 6Q A <br /> ,� <br /> �`~ � v T5� yl� <br /> SAMPLED BY: con- $Qv ��v'ew O4� O <br /> (Signature) talo- Q �q V�p� 4Z l r' <br /> Date Time Sa tple ID ers 4, Oa t4 9 REMARKS: MISC. <br /> t 9 S oe3 s-n i5` � -C-'P/- <br /> ru ri S T�7,1L : Tc <br /> z <br /> 8,,.a t'{"Al_ '715,b F"c(L. <br /> 12 cm # <br /> Roy rY <br /> ISTu�-IS T <br /> r <br /> x701' i C" RBaYr C Ton <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Si nature) 3 9� aso (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Si nature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) <br /> (Signature) <br />
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