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SR0081206 SSNL
EnvironmentalHealth
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SR0081206 SSNL
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Entry Properties
Last modified
12/26/2019 2:14:29 PM
Creation date
12/26/2019 1:59:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SR0081206
PE
2602
FACILITY_NAME
CALIFORNIA ISLAMIC CENTER
STREET_NUMBER
12882
Direction
N
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05807023
ENTERED_DATE
9/26/2019 12:00:00 AM
SITE_LOCATION
12882 N LOWER SACRAMENTO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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Cw cis & Tompkins, Ltd. CHAIN aF USTODY Pageof 1 <br /> Analytical Laboratory Since 1878 <br /> 2323 Fifth Street Analysis <br /> Berkeley, CA 94710 <br /> (510)486-0900 Phone C &T LOGIN <br /> (510)4860532 Fax <br /> sampler <br /> Project No.: c a t -- u '2-L Report To: C�-V-Nr��� 1�1 <br /> Projecit Name: Cir ; r +bt—�� /l tl �— Com Y.-rrrjAMj <br /> Project PA: Telephone: � '�1�) 1.1�I—A-Q[) <br /> Turnaround Time: t,,l Fax: �) t� -- <br /> Z <br /> 4MatrlxPreservative <br /> Lab Sampling Date p of � IL' 6 wNo. Sample ID. Time U <br /> Containers r v <br /> 2- <br /> J- <br /> Notes: IPTSAMPLE RELINQUISHED BY: flVBY-.d <br /> on Ice AmbleM DATE/TIMEWC) <br /> DATE/TIME <br /> Preservative Correct? <br /> [f Yes Q No []WA DATE/TIME DATE/TIME <br /> DATE/TIME DATE/TIME <br /> 0 SIGNATURE <br />
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