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SU0002249 SSNL
EnvironmentalHealth
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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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Condor Earth Technologies, Inc. K, i I s <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane ❑ 1125 North Golden State Boulevard (�p 188 Frank West Circle, Suite 1 <br /> �J <br /> P.O. Box 3905 Suite G Stockton, CA 95206 <br /> N° 4458 Sonora, California 95370 Turlock, CA 95381 209-2340518 <br /> 209-532-0361 209-668-9256 209-234-0538 (fax) <br /> 209-532-0773 (fax) 209-668-9257(fax) condor@condorstockton.com(e-mail) <br /> SHIPPED TO: SEND RESULTS TO: <br /> n <br /> �� - <br /> NAME: � <br /> - <br /> Com' OFFICE: S -C c. <br /> ❑ PLEASE FAX RESULTS: PROJECT: <br /> PROJECT NO—) ✓ Verification <br /> SAMPLED BY: of <br /> (Signature) Con- <br />, tain- <br /> Date Time Sample ID ers �� REMARKS: MISC. <br /> Relinquished By: _ �,1 Date- Time: Received By: Date: Time: <br /> (Signature) <br /> J tr Z C /940 (Signature) t; <br /> Relinquished By: Date: Time: Received BDat 1: 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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