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ARCHIVED REPORTS_XR0009062
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_XR0009062
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Entry Properties
Last modified
6/1/2020 11:45:22 AM
Creation date
6/1/2020 11:39:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009062
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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WHF <br /> ILL - - 1-1. <br /> W1HF Environmental Consultants, Inc <br /> Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> ROJECT NAME. <br /> r 'f <br /> a <br /> AMPLEg 4Signature) Number Qc�c� <br /> REMARKS <br /> cern at' Time E Station Location COn� <br /> tamers <br /> �X 'J <br /> z31 <br /> � r <br /> V /CJI - 3 <br /> 01 V <br /> 99 <br /> G9 <br /> Ot <br /> f` <br /> 3nquished by(signature) Gate / Time Received by (stgnhtdre) Relinquis,ned by(signature) Date / Time Received by (signature) <br /> ipany or Agency rConpany or Agency: Company or Agency Company or Agency <br /> linquished by(signature) gate / Time Received by ts,giature). Relinquished by iDate / Time Received by (sigr3ture) <br /> npany or Agency Company or Agency. CoTipany or Agency, Company or Agency <br /> 1X ,q'u (signature) gate/ ! ljme Received for,Laboratory S' Date / Time j Remarks/Shznpzng Information <br /> ��or A en�� iIG�J'�� <br /> • f y �` !�Grr`� ;� 1 !�7 f X1.4, t <br />
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