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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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f' <br /> WHF Environmental Consultants, Inc <br /> Post Office Box 6729 <br /> 5 Modesto, CA 95355-6729 <br /> CHAIN OF CUSTODY RECORD (209) 579-8138 <br /> RD,]ECT AWE: ! , <br /> AMPk.fJsignatur a �� <br /> /� Number Q QL REMARKS <br /> r '/ of <br /> on <br /> yern Dat TimeI CL a Station Location ta�ners <br /> Y <br /> 25, <br /> inquished by(signature) Date / Time htLeived by (signature)- Relinquished by(�ignatt;re) Date ! Time ReCE;1ed by (sipatwe) <br /> ipany or Agency jCo.npany or Agency* Conpaw, or Agency Company or Agencv. <br /> ! a <br /> linquished by(signature) Date J Time Gcceived by t-ig5atvre). Pel ��y�T~s=; ,y Kate I Time Rece;red by ;sigr,5ture) <br /> npany or Agenc I lCompany jr Agency. Company o- Agency 1"mDany or Agency <br /> 1 ishe y(signature) � Date J Time �Rerewed for Labor/tory by Date / Time Re�narksfShtpping Information <br /> mpanv o Agency tri st �' f re) !f ? I <br /> (�J J <br /> X. <br /> F��YfCStm.+s®-'+.neosd.mc..aw.m.`��.d+.�.+++.r..r..�i+...d.�rr..am.,..ana..-�..,...w.wr J ✓ 1'4�{ I ..........�..�. <br />
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