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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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�F <br /> WHF Environmental Consultants, Inc <br /> Post Office Box 6729 <br /> CHAIN OF CU&DY RECORD Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> fPROJECT RAMIE: <br /> SAMPLERS (signature) <br /> Number ��v°" f <br /> REMARKS <br /> of <br /> Station Con- <br /> Rumber pate Time R Station Location tainers <br /> U U' <br /> S© <br /> lc� <br /> a0A I �\/Iz-v 3 <br /> V7 L--v 3 13h , -L- <br /> 4Y <br /> R inquishe) b!�signature): Date / Time Received by (signature): Relinquished by(signature)• Date / Time Received by (signature). <br /> 1 <br /> m ny'�f eA ncy �3 Company or Agency: F 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 Received for Laborattyory% Date / Time Remarks/Shipping Information <br /> Company or A9enty: 1# <br /> j 7 <br /> - <br /> _�� /„ter <br />
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