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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
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EHD - Public
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ftF <br /> WHF Environmental Consultants, Inc <br /> + Post Office Box 6729 <br /> CHAIN OF CU „ ODY RECORD Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> PROJECT WE: �n � A-rt 57-7 <br /> 57 /�-,f Ca <br /> SAMPLERS (signature) Number �r��o, <br /> REREMARKSof <br /> Station <br /> Number Date Time � Station Location Con- <br /> tainersAl 3 <br /> Sia A 3 a- <br /> � I1 n _ , <br /> 021 <br /> i <br /> R inquishe�� by signature). Date / Time Received by (signature): r Relinquished by(signature)- Date / Time Received by (signature): <br /> om nyfof gaency- `.7 �3 Company or Agency: Company or Agency. Company or Agency: <br /> Relinquished by(signature): Date / Time Received by (signature): Relinquished by: Date / Time Received by (signature): <br /> Company or Agency: Company or Agency: Company or Agency, Company or Agency: <br /> Relinquished by(signature) Date / Time Peceived for Laboratorylby bate / Time Remarks/Shipping Information <br /> Company or Agency: { <br /> )sir u ) ,q. r <br /> E <br />
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