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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HARLAN
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2900 - Site Mitigation Program
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PR0545269
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COMPLIANCE INFO
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Entry Properties
Last modified
2/20/2020 5:52:09 PM
Creation date
2/20/2020 4:31:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0545269
PE
2959
FACILITY_ID
FA0025740
FACILITY_NAME
SOUTHERN PACIFIC
STREET_NUMBER
7900
STREET_NAME
HARLAN
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
CURRENT_STATUS
02
SITE_LOCATION
7900 HARLAN RD
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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L� (� n -� <br /> PR J.N P JE AMEp 1 <br /> to <br /> L.P.NO. SAMPLERS:(Signature) OF —CIO <br /> CON- �Q b ` REMARKS <br /> 1CJ TAINERS <br /> DATE SAMPL I.D. <br /> 14, <br /> 41) . w►I. v a#� <br /> X <br /> Mw� <br /> V%/ _ <br /> C � i� yNo �-cs rvP <br /> w- <br /> roa ,,I. ►art, <br /> elinquished by: tuna •) <br /> Date/Time Received by:(signature) Remarks <br /> �] <br /> Rp& Its' �O T-- J 004'1 <br /> elinquished by:(signore) Date/Time Received by:(signatur0 <br /> ryyy , 5 <br /> ` Received for Laboratory by: 4 <br /> Relinquished by:(signature) Dete/Tlms c— <br /> (Supnawn) � <br /> a ` " Canonie Environmental, 212 Frank West Circle, Suite A, Stockton, CA 95206 <br />
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