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SU0008067 SSNL
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-1000007
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SU0008067 SSNL
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Entry Properties
Last modified
5/7/2020 11:33:20 AM
Creation date
9/5/2019 11:17:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0008067
PE
2631
FACILITY_NAME
PA-1000007
STREET_NUMBER
17266
Direction
N
STREET_NAME
HILLSIDE
STREET_TYPE
DR
City
LODI
APN
05324005
ENTERED_DATE
1/25/2010 12:00:00 AM
SITE_LOCATION
17266 N HILLSIDE DR
RECEIVED_DATE
1/25/2010 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HILLSIDE\17266\PA-1000007\SU0008067\NL STDY.PDF
Tags
EHD - Public
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Fgl Chain of Custody http://192.168.2.2/fgl/PageSTK/SectionCustomer/login/chain/chain.php7CustomerIID=3016... <br /> CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> /Q3 a.�I7�i <br /> Client: Live Oak Geo Favironmental <br /> Customer Number: 3016608 <br /> Address: 407 W.Oak Street <br /> Lodi,CA 95240 <br /> Phone: (209)369-0375 Fax: (209)369-0375 <br /> Contact Person: /David Welch <br /> Project Name: <br /> Purchase Order Number: <br /> Quote Number: _ <br /> Sampler($): <br /> Sampling Fee: Pickup Fee. ty <br /> Compositor Setup Date: Time: v 1 <br /> Samp location Description Date Time <br /> Num Sampled Sampled <br /> rl}arlCS — Re hod Date: Time: wished e: Time: Rel�quishFd 4 Date: ,Time: <br /> Remarks <br /> rz -t� ' 't <br /> eiv Date: Time: Received By: e: Time: Received By: Date: Time: <br /> r <br /> 1 of 1 03/17/2010 11:33 <br />
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