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FIELD DOCUMENTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MARKET
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5023
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3500 - Local Oversight Program
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PR0545537
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Last modified
3/12/2020 3:50:55 PM
Creation date
3/12/2020 2:34:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545537
PE
3528
FACILITY_ID
FA0008034
FACILITY_NAME
FRANKS TIRE SERVICE
STREET_NUMBER
5023
Direction
N
STREET_NAME
MARKET
STREET_TYPE
ST
City
LINDEN
Zip
95236
CURRENT_STATUS
02
SITE_LOCATION
5023 N MARKET ST
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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° <br /> N 159 <br /> GROUND ZERO ANALYSIS <br /> CHAIN OF CUSTODY RECORD ANALYSIS REQUEST <br /> PROJECT NO. PROJECT NAMEAITE ANALYSIS REQUESTED P.O.#: <br /> 33 �`s► +1s;s V�r�e se(-vL c..Q_ <br /> SAMPLERS (SIGN) <br /> zv� <br /> /(PRINT) <br /> 1 <br /> O J �\ O Q 1O <br /> SAMPLE IDENTIFICATION DATE TIME :2PRES. o o Za 1�0 <br /> O USED REMARKS <br /> JF` a 5 — v; Z� �. <br /> FTS S —zo S <br /> TS ss IS _z5 �Z �1�5 X X ► s <br /> t <br /> REUNQUI ED BY. DATE TIME RECEIVED BY: LABORATORY: PLEASE SEND RESULTS TO: <br /> ►Z15Iq l6 'o o _ O.A &�uu Ct-co rA Zea) <br /> REUN DISHED BY: DATE TIME RECEIVED BY: A�( �, <br /> RELINQUISHED BY. DATE TIME RECEIVED BY: REQUESTED TURNAROUND TIME: <br /> RELINQUISHED BY: DATE TIME RECEIVED BY: RECEIPT CONDITION: PROJECT MANAGER: <br />
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