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SU0005759 SSNL
EnvironmentalHealth
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SU0005759 SSNL
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Entry Properties
Last modified
5/7/2020 11:31:45 AM
Creation date
9/6/2019 10:25:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0005759
PE
2622
FACILITY_NAME
PA-0500671
STREET_NUMBER
26170
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
GALT
APN
02102002
ENTERED_DATE
11/4/2005 12:00:00 AM
SITE_LOCATION
26170 N JACK TONE RD
RECEIVED_DATE
11/4/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\26170\PA-0500671\SU0005759\SS STDY.PDF
Tags
EHD - Public
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Jul • 13. 2006 1 :57PM Prudential California - Lodi No•3622 P. 2/11 <br /> ENVIRONMENTAL %%ACco <br /> WIN <br /> .w <br /> r <br /> Q � <br /> ANALYTICAL CHEMISTS <br /> 3003607 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIJill Jill Remit To: <br /> 634702A 111111111111111111111111 Jill FGL Environmental <br /> P.O. Box 272 <br /> $ 0.00 I IIIIII IIIA VIII VIII VIII IIII IIIIII VIII IIII IIII Santa Paula, CA 93061 <br /> Prudential-Rose Marie Realty <br /> 1 N. Cherokee Lane <br /> Lodi, CA 95240 Date BMW Amount Due <br /> 06/16/2006 $ 0.00 <br /> Date Due Amount Paid <br /> 07/16/2006 No Amount Due <br /> TO eroure,that1fbur accoun_t IS property cretled,plas return top to,p„po_rti,o.n..with_h.parwrit <br /> Keep bottom portion for your records. <br /> ENVIRONMENTAL INVOICE <br /> IP <br /> Account # Date Sampled. Lab Number <br /> Prudential-Rose Marie Realty 3003607 06/07/2006 STK634702 <br /> Invoice # Date Billed Amount Due <br /> 634702A 06/16/2006 $ 0.00 <br /> Check Number Date Paid Date Due Amount Peld <br /> 07/16/2006 No Amount Due <br /> Description of Work Quantity Rate Charge <br /> Inorganic Analysis <br /> Wet Chemistry-NO3 1 26.00 26.00 <br /> Organic Analysis <br /> EPA 504.1-DBCP 1 84,00 84,00 <br /> Total 110.00 <br /> Pre-Paid Paid by Check #706 -110,00 <br /> Amount Due 0.00 <br /> (kdm-NL) wring,maning and payment n rrna on on reverse side Page 1 of 1 <br /> Corporin Offices&Laboratory OMtoe&Laboratory Fleld Office <br /> P.O.Ilex 272 1 063 rio Pon an Street 2000 8ta9ecvaoh Road msalla,callomla <br /> Sema Paula,CA 93001-0272 StooMon,CA 90216 TEL. (668)734.8473 <br /> TEL: (000)382.2000 TEL: (200)842-0101 FAX: (009)7340436 <br /> PAX: (005)626.4172 PAX: (209)942.0423 Moldlei (560)737.2999 <br /> CANELAPCarlMes lon No.o111 oCA GA ELAP Certllieat1w No. 1503 <br />
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