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ARCHIVED REPORTS_XR0009061
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_XR0009061
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Entry Properties
Last modified
6/1/2020 11:45:08 AM
Creation date
6/1/2020 11:38:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009061
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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.. onlo > � . #P%iF .... _. <br /> WHF Environmental o mental Consultants, Inc <br /> K <br /> Post Office Box 6729 <br /> i CHAIN OF CUSTODY RECORD Modesto, CA 95355-5729 <br /> (209) 579-8138 <br /> PROJECT TME: G-e- <br /> w /r • / / C y pD 1% <br /> AMPL Isignature Number <br /> ' 1 of " / REMARKS <br /> Station <br /> CL Number Dat Time b Station Location CO"- <br /> tainers <br /> kcp W, ��e�w 3 <br /> 01 -7 <br /> ffl 1 .�r , J S— <br /> 1 � <br /> Relinquished by(signature) Date / Time Received by (signature)- Relinquished by(signature)• Date / Time Received by (signature). <br /> Company or Agency: 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 /> f <br /> _ quishe y(ssiig�natu�). Date// Time Received for Labor tory by Date / Time Remarks/Shipping Information <br /> re) f <br /> t��0 a np ariyeVgency- <br />
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