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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 EV125 <br /> h Technologies, Inc. <br /> Q 21663 Brian Lane N.Golden State Blvd.,Ste.H Q Agro Environmental Q 1100 C Airport Blvd. <br /> No 3 rJ P.O.Box 3905 P.O.Box 3448 5651 N.Pershing Ave.,C-3 P.O.Box 30035 <br /> 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: <br /> NAME: C_M;4ii�u " 4ef—_ <br /> l OFFICE: /1rze <br /> , C'-4 BILLING INSTRUCTIONS: �2, <br /> ❑ PLEASE FAX RESULTS: LABORATORY REPORT NUMBER: <br /> PROJECT NO. 5 <br /> 3. NO. yti5 Cs� �q <br /> SAMPLED BY: of y <br /> C <br /> con- <br /> (Signature) tain- <br /> Date Time Sa Ile ID ers 0 O t REMARKS: MISC. <br /> C, 2_I7 <br /> O53S` /523 -,yPl—// 2S X ZIZ <br /> I Z <br /> 336 <br /> rr�� 1,�4Pz- G / G y <br /> X <br /> Y <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature S /-7/b (Si nature) /o <br /> Relinquished By: U. Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) I (Signature) <br /> Original-Send Yellow-File Pink-Log Book GenOLI Gflx HCS(M)52r] 7FOn,J692 <br />
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