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ARCHIVED REPORTS XR0012610
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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6425
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2900 - Site Mitigation Program
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PR0519189
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ARCHIVED REPORTS XR0012610
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Entry Properties
Last modified
8/21/2019 3:01:29 PM
Creation date
8/21/2019 2:18:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012610
RECORD_ID
PR0519189
PE
2950
FACILITY_ID
FA0014347
FACILITY_NAME
CURRENTLY VACANT
STREET_NUMBER
6425
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741031
CURRENT_STATUS
02
SITE_LOCATION
6425 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
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EHD - Public
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a <br /> GRAN OF ti,USTODY RECORD <br /> P !RA tura}: APB/i�d ftS <br /> 4191•E Agway!nn flaad.Sacrtmento.U+93a2b (916)45I.2941 <br /> JaU10ne►: 91(' 7-9Cy .Fremont +Cotta Mau •Stcnmvnto <br /> LABORATO.......... <br /> � ll SHIPPING INFQAmATION: <br /> DOr Shipper - — <br /> 33 •a'�G Addrou <br /> .jan t�5 Dato Shipped <br /> TURNAAGUNQ TIMV r ' Service Used <br /> Attention: Alrbill No.phwe No. ._��-- <br /> vqd :W a(uresl qct Tim* <br /> As ixhgd b ;(>li4rtatur�} R � <br /> Received for la oratory by: <br /> LABORATORY SmOULA SIGN UPON RECEIPT AYONY I E ALTS COPY OF THIS FORM WITH THE <br /> Site pate Analyses Sample Condltion <br /> Sample !Joan Akcelpt <br /> No. Idant(f(cation Samolod Requested <br /> sr.. t 'TS <br />
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