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SU0009808 SSNL
EnvironmentalHealth
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PA-1300176
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SU0009808 SSNL
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Entry Properties
Last modified
5/7/2020 11:34:15 AM
Creation date
9/9/2019 10:17:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0009808
PE
2622
FACILITY_NAME
PA-1300176
STREET_NUMBER
19625
Direction
N
STREET_NAME
SOUTHWORTH
STREET_TYPE
RD
City
WALLACE
Zip
95254-
APN
02326001
ENTERED_DATE
10/28/2013 12:00:00 AM
SITE_LOCATION
19625 N SOUTHWORTH RD
RECEIVED_DATE
10/25/2013 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\S\SOUTHWORTH\19625\PA-1300176\SU0009808\SSS STDY.PDF
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EHD - Public
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November 26, 2013 Lab ID : STK 1350975 <br /> Live Oak Geo Environmental Customer : 3-16608 <br /> Certification:: I certify that this data package is in compliance with NELAC standards, both <br /> technically and for completeness, except for any conditions listed above. Release of the data contained <br /> in this data package is authorized by the Laboratory Director or his designee, as verified by the <br /> following electronic signature. <br /> KD:DMB <br /> mamw o�.a M nap A iw'm"-.n s <br /> Approved By Kelly A.Dunnahoo,B.S. <br /> Page 2of7 <br />
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