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SU0002249 SSNL
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JACOB BRACK
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2600 - Land Use Program
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UP-98-08
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SU0002249 SSNL
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Entry Properties
Last modified
5/7/2020 11:29:08 AM
Creation date
9/6/2019 10:28:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0002249
PE
2626
FACILITY_NAME
UP-98-08
STREET_NUMBER
18667
STREET_NAME
JACOB BRACK
STREET_TYPE
RD
City
LODI
APN
01115012
ENTERED_DATE
10/26/2001 12:00:00 AM
SITE_LOCATION
18667 JACOB BRACK RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JACOB BRACK\18667\UP-98-08\SU0002249\SS STDY.PDF \MIGRATIONS\J\JACOB BRACK\18667\UP-98-08\SU0002249\NL STDY.PDF
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EHD - Public
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_71 ��- __..1 .3 " .R._9 _ _ "ci�ologiesr <br /> -: ..9 - 1 <br /> Condor Earth�TInc. <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane ] 188 Frank West Circle, Suite I <br /> P.O. Box 3905 1 Sonora,California 95370 Stockton,CA 95206 <br /> q L +� 209-532-0361 209-234-0518 <br /> i 3 @ f 9 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth.com(e-mail) condor@condorstockton.com(e-mail) <br /> SHIPPED TO: SEND RESULTS TO: - 0 t,p <br /> `- NAME: Wim_ i _ <br /> M-o-21 "m, CAOFFICE: e.Tzwj <br /> K PLEASE FAX RESULTS: PROJECT: E; MIALIJ <br /> PROJECT NO. ✓ Verification3067Tr <br /> SAMPLED BY: con- <br /> of <br /> (Signature) � <br /> (Signature) .,�#�1}r,15U� ca <br /> tain- e <br /> Date Time Sample ID ers REMARKS: . MISC, <br /> Relinquished By: t Date: Time, Received By: Date: Time: <br /> (Signature) # f — 1 .l t} (Signature) (" Ca't" 3 (,. .; 5 <br /> Relinquished Byj Date: Time: Received B <br /> V Y� Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book <br />
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