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SU0009907
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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14623
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2600 - Land Use Program
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PA-1400006
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SU0009907
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Last modified
11/27/2019 2:04:19 PM
Creation date
9/8/2019 12:47:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0009907
PE
2690
FACILITY_NAME
PA-1400006
STREET_NUMBER
14623
Direction
E
STREET_NAME
PROUTY
STREET_TYPE
RD
City
GALT
Zip
95632-
APN
00902003 00906003 00907001 00909007
ENTERED_DATE
1/21/2014 12:00:00 AM
SITE_LOCATION
14623 E PROUTY RD
RECEIVED_DATE
1/21/2014 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\P\PROUTY\14623\PA-1400006\SU0009907\APPL.PDF
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EHD - Public
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Fgl Chain of Custody http://192.168.2.2/fgl/PageSTK/SectionCustomer/login/chain/chain.php?Customerllk301... <br /> CHAIN OF CUSTODY <br /> ENVIRONMENTAL AND ANALYSIS REQUEST DOCUMENT <br /> Lab Number: TEST DESCRIPTION AND ANALYSES REQUESTED <br /> 35;�oG <br /> Client: Live Oak Gen Environmental <br /> Custom.Number. 30166118 <br /> Admen: 407 W.Oak Smarr <br /> Lodi,CA 95240yy gg <br /> Phone: (209)369-0375 Pu: (209)369-0375 3�f <br /> Contact Person: David Welch llr l£el CE =j <br /> Rojecthl.. <br /> �aV Z s. Nei-rH It+PrN fY-P. p ^. <br /> Purchase Drder Number: Ie1 to a{ PaN,c^ v to a <br /> Quote Nunber: <br /> SamplMt' �/ o <br /> G <br /> SamplingFee: Pickup Fee: 81E a V� R <br /> p yF <br /> Compopax Semp Date: Time: g e <br /> Samp Location Description Date Time 2 <br /> Num Sampled Sampled <br /> �/LAUE[ al Llx /8�3 S a 2 <br /> LiL U Z 1 <br /> Remarks elinquished Date: Time: quiahed Date: Ti.: Re inquished Date: Time: <br /> By eto:, Time'. R ved By' D le' Time: R y: le: Time: <br /> � °� �8�13 /70 " <br /> 1 of I 12,4013 1:07 PM <br />
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