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ARCHIVED REPORTS_XR0009063
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_XR0009063
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Entry Properties
Last modified
6/1/2020 11:44:05 AM
Creation date
6/1/2020 11:39:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009063
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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ILI (7 <br /> i <br /> F WHF Environmental Consultants <br /> Inc. <br /> Post Office Box 6729 <br /> CHAIN OF CUSTODY RECORD Modesto, CA 95355-6729 <br /> (209) 579-8138 <br /> PROJECT NAME: <br /> ✓! D <br /> SAMPLERS (si gnatyre) o <br /> :. ��%�/r :-� �.-•-•.-�._. . ��_ Number It �°'k 1i � REMARKS <br /> l ✓r. 1 J, <br /> $taNQh <br /> Number Date Time Station Location to{Hers �' <br /> , <br /> Vt It <br /> j .6 <br /> ReLigqujshed by(signature): 'Date / Time Recei - <br /> yy ,(signature): Relinquished by(signature): Date / Time Received by (signature): <br /> Company or Agency. ^ `' - � 2�omp'any aige : Company or Agency: Company or Agency: <br /> ' •,�u: w.Vie' <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 Laboratory by: Date / Time Remarks/Shipping Information <br /> Company or Agency: (signature). <br /> e <br />
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