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SITE HISTORY
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MENDOCINO
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1081
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3500 - Local Oversight Program
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PR0545548
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SITE HISTORY
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Last modified
5/4/2020 9:58:01 AM
Creation date
3/16/2020 4:26:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0545548
PE
3528
FACILITY_ID
FA0001143
FACILITY_NAME
UNIVERSITY OF THE PACIFIC
STREET_NUMBER
1081
Direction
W
STREET_NAME
MENDOCINO
STREET_TYPE
AVE
City
STOCKTON
Zip
95211
CURRENT_STATUS
02
SITE_LOCATION
1081 W MENDOCINO AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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C` 1 l -j4-.i7 161 O b If l 00 l — 00� N° 1 ' 431 <br /> GROUND ZERO ANALYSIS RD ANALYSIS REQUEST <br /> CHAIN OF CUSTODY RECO <br /> PROJECT NO. PROJECT NAME/SITE ANALYSIS REQUESTED P.O.I: <br /> ' l)ap <br /> � <br /> SAMPLERS - (SIGN) <br /> ui <br /> O J o 0 0 <br /> SAMPLE IDENTIFICATION DATE TIME p UPSED U O REMARKS <br /> C7 <br /> DTv- lu W SXx <br /> TU- Tis :30 x I L �- <br /> v _ �i:4� X X ( 5 X X ► <br /> I) Tu - Sp I.SS X X s I <br /> t�- SQL vo v5 <br /> XI )1X, mX _ r <br /> 1 <br /> RHJN ED BY: DATE TIME RE D�BY: LABORATORY: PLEASE SEND RESUIf S TO: a <br /> woes �h ( ; � <br /> Q-► �D 7/ �tl L�Nc r2 CICO,.u <br /> NQUISHED BY:. DATE TIME pUIYED BY. Alma, 64 <br /> 7a5, wv 525V <br /> RELINQUISHED BY: " LUTE TIME RECENED BY: REQUESTED TURNAROUND TIME: *J <br /> • � CYC <br /> RELINQUISHED BY: DATE TIME RECEIVED BY: RECEIPT CONDITION: PROJECT MANN.-ER: <br /> r. <br />
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