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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545051
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SITE HISTORY
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Last modified
12/11/2019 9:22:58 AM
Creation date
12/11/2019 9:05:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0545051
PE
3528
FACILITY_ID
FA0005674
FACILITY_NAME
OM SCOTT & SONS/HYPONEX CORP
STREET_NUMBER
23390
Direction
E
STREET_NAME
FLOOD
STREET_TYPE
RD
City
LINDEN
Zip
95236
APN
093-100-17
CURRENT_STATUS
02
SITE_LOCATION
23390 E FLOOD RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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IL 't TEL NQ:209 <br /> GeoAnalytical Laboratories, Inc, <br /> 1031 KanAve., Suite_C. . Phone (209) 572-0900 <br /> MKansas Ave., <br /> California 95351 Fax #(209) 572-0916 <br /> CHAIN OF CUSTODY 1769 <br /> tal'stt< WaQo"L6)= � Cgr-�— Phone <br /> A+ s CC to: <br /> PROJECT ID ANALYSIS <br /> No. <br /> Cw <br /> of <br /> SAI! ) a <br /> ars REMARKS <br /> Da* Tlrns ' Sample Lavation <br /> 7-AM <br /> t: 3 s cj <br /> K12A <br /> t Ne <br /> K t C X <br /> 1 <br /> I I i t <br /> Data Time Roo ed WV_ r � Date Time <br /> Vv- <br /> r. <br /> .Date Time ed y t re): ate + <br /> nAWWOWhed by( aturo); Date Time Receives by(signature): Date Time <br /> shed by(sigma ); Data Time Received by(signature): Date Time <br /> Relinquished by(atgnature)i Dats Time Received oy(signature): Date Time <br /> Site Time: Driving Time: <br /> Start: Flnish: Total Hours: l Start: Finish: 'L+, Total Hours: � <br /> f <br /> f <br /> J <br />
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