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ARCHIVED REPORTS_XR0008879
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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U
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UNION
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425
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3500 - Local Oversight Program
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PR0545776
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ARCHIVED REPORTS_XR0008879
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Entry Properties
Last modified
6/1/2020 11:47:01 AM
Creation date
6/1/2020 11:36:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008879
RECORD_ID
PR0545776
PE
3528
FACILITY_ID
FA0002231
FACILITY_NAME
JACK FROST ICE SERVICE
STREET_NUMBER
425
Direction
N
STREET_NAME
UNION
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15112003
CURRENT_STATUS
02
SITE_LOCATION
425 N UNION ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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LSauers
Tags
EHD - Public
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WHF Environmental Consultants, Inc. <br /> Post Ofice B x 6729CHAIN 3 <br /> OF CUSTODY RECORD �� Modesto- 953 5-6729 <br /> PROJECT UME; (4N! O N JfC C C 6IO-?)$57Z9-8138 0 <br /> �f 3 <br /> A). 1f IV f a ;-1 L <br /> SAMPLERS (signature) <br /> Number lc�g0 y <br /> Station of y, �` GS REMARKS <br /> Number Date time Station Location Con- <br /> tainers <br /> 93462 J7, N c i27-�/ 4'r <br /> 0 F €xt <br /> q � L( f As LUILL <br /> -- <br /> r 'P.►o <br /> q3G1, S l w EST w LL oF. <br /> kz� Cie Y' 'y <br /> � mM Q g: 3 <br /> �wk VL <br /> z(1 y w � t c F �x C <br /> X M <br />;r:2_� to <br /> Reed by(signature) Date / Time Received by (signature): Relinquished by(signature): Date <br /> —M•v�� �,r� IS3a / Time Received by (signature). <br /> company OAgency: / Company or <br /> Agency:Agency:. <br /> Company or Agency: Company or Agency: <br /> Relinquished by(signature): Date / Time Received by (signature). Relinquished by: <br /> Date / Time Received by (signature). <br /> Company or Agency <br /> Company or Agency: Company or <br /> Agency- Company or Agency: <br /> Relinquished by(signature). Date / Time Received for Laboratory by: pate / Time <br /> Remarks/Shipping information <br /> Company or Agency- (s re) <br /> / o ,a <br />
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