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ARCHIVED REPORTS_XR0009378
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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12 (STATE ROUTE 12)
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3049
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3500 - Local Oversight Program
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PR0545717
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ARCHIVED REPORTS_XR0009378
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Entry Properties
Last modified
11/19/2024 3:45:51 PM
Creation date
6/3/2020 11:15:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009378
RECORD_ID
PR0545717
PE
3528
FACILITY_ID
FA0003912
FACILITY_NAME
MARTINIS BAIT & TACKLE
STREET_NUMBER
3049
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95240
APN
02514016
CURRENT_STATUS
02
SITE_LOCATION
3049 W HWY 12
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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LSauers
Tags
EHD - Public
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Condcl Earth Technologies, Inc. 933 - 1� <br /> CHAIN-OF-CUSTODY <br /> ❑ 21663 Brian Lane � 1125 N Golden State Blvd , Suite H ❑ 1108 C Airport Blvd <br /> 1 J P O Box 3095 P O Box 3448 P O Box 30035 <br /> Sonora, California 95370 Turlock, California 95381 Pensacola, Florida 32503 <br /> (209)532-0361 (209) 668-9234 (904)477 0454 <br /> FAX (209)532 0773 FAX (209)668-9248 FAX (904)477-0534 <br /> SHIPPED TO: [ SEND RESULTS TO <br /> � j. 2 An gl4Tl-cal NAME- 11-->31 KG-%5rA s Au e-, _ OFFICE br -- yr 10 <br /> ❑ PLEASE FAX RESULTS PROJECT <br /> PROJECT NOl y 5 n S ✓NO Verification <br /> K ��ti 1 <br /> Of SAMPLED BY-A, I� ' Con- + <br /> (Signature) /�. tarn- �' .� q <br /> Date Time Sample ID ers /�j �a h� �, REMARKS M1SC <br /> rg 1(00 Sys _ ��- - - t 'X x x F—D kO <br /> Lka <br /> 14 -Pik _ -Bib i X ,,/ )I x E: <br /> \k X x k X E: <br /> X X x x 0-INO <br /> 13 21 -TI-k x ❑eAD ) <br /> Gly i <br /> a Hb� <br /> by — 1*3 <br /> � —54-- 1 K �`o�-lD C� tr•o� <br /> ti � 05 <br /> _ $ er <br /> Relinquished By /f 1 J Dat '1Time Received By Dat Time <br /> (Signature) -Sl$ , 17M (Signature) 1 A �1IQ <br /> Relinquished By Date Time Received By Date me <br /> Ti <br /> (Signature) (Signature) <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) I (Signature) <br /> Original-Send Yellow-File Pink-Log Book GAROLI GRAPHICS(209)5273067 FORM J602 <br />
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